IRO for Auto No-fault Utilization Review Appeals

Ended State & local contract Michigan Awarded

Contract number
MA230000000479
Awardee
SCS Support Claim Services, Inc.
Contracting organization
Department of Insurance and Financial Service

Contract facts

Cumulative value
$150,000
End date

Contract details come from michigan.gov. Updated .

About this contract

This indefinite delivery vehicle contract establishes Support Claim Services, Inc. as a prequalified Independent Review Organization (IRO) to conduct utilization review appeals for auto insurance no-fault cases under Michigan law (MCL 500.3157a). The contract scope encompasses medical case reviews, cost case reviews, and hybrid reviews, each provided at fixed flat rates of $575, $300, and $800 respectively, with all costs fully inclusive of service delivery. The IRO is responsible for completing assigned reviews within seven calendar days and providing written recommendations to the Director regarding whether to uphold or reverse insurance determinations made by carriers.

The prime contractor, Support Claim Services, Inc., a New York corporation, is contracted with the Michigan Department of Insurance and Financial Services under this indefinite delivery vehicle agreement. The contract period commenced March 1, 2023, with an initial completion date of February 28, 2026; however, a contract change notice dated December 2025 extended the performance period through February 28, 2027. The contract type is Department of Insurance and Financial Services, with service delivery limited to the State of Michigan. The estimated aggregate contract value is $150,000, with pricing remaining firm throughout the contract term and payment processed via Electronic Funds Transfer within 45 days of invoice receipt. The agreement includes three one-year renewal options exercisable at the State's sole discretion.

Files

File Type Posted
230000000479.pdf PDF

Quick answers

Who holds contract MA230000000479?

Contract MA230000000479 was awarded to SCS Support Claim Services, Inc. by Department of Insurance and Financial Service in Michigan on March 1, 2023.

How much is contract MA230000000479 worth?

Its cumulative value is $150,000.

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