IRO for Auto No-fault Utilization Review Appeals

Ended State & local contract Michigan Awarded

Contract number
MA230000000483
Awardee
DANE STREET, LLC
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 provides Independent Review Organization (IRO) services for auto insurance no-fault utilization review appeals under Michigan Code sections 500.3157a and 500.3157. The contract encompasses both medical necessity reviews and cost appropriateness reviews, enabling the State to procure objective third-party evaluations of provider appeals regarding insurer determinations of overutilization, inappropriate treatment, or cost. Services are structured on a per-review basis with fixed pricing of $295.00 for medical reviews, $400.00 for cost reviews, and $695.00 for hybrid medical and cost reviews. The contractor must maintain accreditation by a nationally recognized organization, employ qualified clinical peer reviewers with active medical licenses and board certification, and complete all reviews within seven calendar days while adhering to comprehensive quality assurance and conflict-of-interest requirements.

The prime contractor for this IDV is Dane Street, LLC, a Florida limited liability company, under contract with the Michigan Department of Insurance and Financial Services. The initial contract period extends from March 1, 2023, through February 28, 2026, with provisions for up to three additional one-year renewal periods exercisable at the State's sole discretion. As of December 2025, the first one-year extension has been exercised, extending the contract through February 28, 2027. The estimated aggregate contract value is $150,000.00, with payment terms of NET 45 days via electronic funds transfer. All services are ordered through delivery orders issued by DIFS, with invoicing based on actual services rendered.

Files

File Type Posted
230000000483.pdf PDF

Quick answers

Who holds contract MA230000000483?

Contract MA230000000483 was awarded to DANE STREET, LLC by Department of Insurance and Financial Service in Michigan on March 1, 2023.

How much is contract MA230000000483 worth?

Its cumulative value is $150,000.

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