IRO for Auto No-fault Utilization Review Appeals
Ended State & local contract Michigan Awarded
- Contract number
- MA230000000486
- Awardee
- PHYSICIANS REVIEW ORGANIZATION OF MICH
- Contracting organization
- Department of Insurance and Financial Service
Contract facts
- Cumulative value
- $150,000
- End date
- Points of contact
-
- Darcie Payne payned3@michigan.gov (517) 930-9402
- Sarah Wohlford wohlfords@michigan.gov (517) 284-8743
- Joseph Stoddard stoddardj6@michigan.gov (517) 730-8761
- Drew Simon simond13@michigan.gov (517) 930-7725
Contract details come from michigan.gov. Updated .
About this contract
This indefinite delivery vehicle establishes a prequalified Independent Review Organization (IRO) capable to conduct utilization review appeals for auto insurance no-fault claims under Michigan Compiled Law sections 500.3157a and 500.3157. The contract authorizes the provider to perform independent medical review services, including medical appropriateness reviews and cost-of-treatment reviews on medical records and supporting documentation submitted by healthcare providers and insurance companies. The IRO delivers recommendations to the Michigan Department of Insurance and Financial Services Director regarding whether insurers' determinations should be upheld or reversed, with the contractor responsible for providing all necessary labor, equipment, materials, and supplies to execute these services.
Physicians Review Organization of Michigan serves as the prime contractor under this IDV administered by the Michigan Department of Insurance and Financial Services. The contract was awarded on March 1, 2023, with an initial completion date of February 28, 2026, and includes three optional one-year renewal periods. The most recent contract modification exercised the first extension, extending performance through February 28, 2027. The contract covers the state of Michigan and is structured as a Department of Insurance and Financial Services agreement with an estimated aggregate value of $150,000.00. The contractor is required to maintain comprehensive insurance coverage, including Commercial General Liability ($2,000,000 aggregate minimum), Professional Liability/Errors and Omissions ($3,000,000 annual aggregate minimum), and Privacy and Security Liability ($1,000,000 minimum), with payment terms of NET 45 days.
Files
| File | Type | Posted |
|---|---|---|
| 230000000558.pdf | ||
| 230000000486.pdf |
Quick answers
Who holds contract MA230000000486?
Contract MA230000000486 was awarded to PHYSICIANS REVIEW ORGANIZATION OF MICH by Department of Insurance and Financial Service in Michigan on March 1, 2023.
How much is contract MA230000000486 worth?
Its cumulative value is $150,000.
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