IRO for Auto No-fault Utilization Review Appeals
Ended State & local contract Michigan Awarded
- Contract number
- MA230000000487
- Awardee
- MANAGED MEDICAL REVIEW ORGANIZATION, INC.
- Contracting organization
- Department of Insurance and Financial Service
Contract facts
- Cumulative value
- $150,000
- End date
- Points of contact
-
- Joseph Stoddard stoddardj6@michigan.gov (517) 730-8761
- Sarah Wohlford wohlfords@michigan.gov (517) 284-8743
- Darcie Payne payned3@michigan.gov (517) 930-9402
- Drew Simon simond13@michigan.gov (517) 930-7725
Contract details come from michigan.gov. Updated .
About this contract
The Department of Insurance and Financial Services (DIFS) established this Indefinite Delivery Vehicle to provide Independent Review Organization (IRO) services for automobile no-fault insurance utilization review appeals in Michigan. Under this contract, the awardee conducts comprehensive medical and cost reviews of auto no-fault insurance claims pursuant to Michigan law (MCL 500.3157a and MCL 500.3157). Specific services include medical case reviews evaluating the appropriateness of prescribed treatments, cost case reviews assessing the reasonableness of treatment expenses, and hybrid reviews combining both medical and cost assessments. The pricing structure is fixed at $390.00 per medical review, $285.00 per cost review, and $350.00 per hybrid review, providing Michigan with a standardized mechanism for third-party review of disputed no-fault insurance claims.
Managed Medical Review Organization, Inc. serves as the prime contractor for this IDV awarded by the Michigan Department of Insurance and Financial Services. The initial contract term runs from March 1, 2023, through February 28, 2026, with three optional one-year extensions available. The contract carries a current value of $150,000.00 with an estimated aggregate contract value of $150,000.00. The first one-year extension option has been exercised, extending the contract expiration date to February 28, 2027. This is a cost-reimbursable contract with NET 45-day payment terms, covering statewide Michigan operations under the Department of Insurance and Financial Services' procurement framework.
Files
| File | Type | Posted |
|---|---|---|
| 230000000487.pdf |
Quick answers
Who holds contract MA230000000487?
Contract MA230000000487 was awarded to MANAGED MEDICAL REVIEW ORGANIZATION, INC. by Department of Insurance and Financial Service in Michigan on March 1, 2023.
How much is contract MA230000000487 worth?
Its cumulative value is $150,000.
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