IRO for Auto No-fault Utilization Review Appeals
Ended State & local contract Michigan Awarded
- Contract number
- MA230000000489
- Awardee
- PROPEER RESOURCES, LLC
- Contracting organization
- Department of Insurance and Financial Service
Contract facts
- Cumulative value
- $150,000
- End date
- Points of contact
-
- Drew Simon simond13@michigan.gov (517) 930-7725
- Darcie Payne payned3@michigan.gov (517) 930-9402
- Joseph Stoddard stoddardj6@michigan.gov (517) 730-8761
Contract details come from michigan.gov. Updated .
About this contract
Under this indefinite delivery vehicle, ProPeer Resources, LLC provides Independent Review Organization (IRO) services for auto insurance no-fault utilization review appeals. The contract establishes a prequalified provider to conduct independent medical and cost review services related to disputed auto insurance no-fault claims determinations under Michigan law. ProPeer performs medical appropriateness reviews, cost reasonableness reviews, and hybrid reviews (combining both medical and cost analysis) of treatment determinations that are subject to utilization review appeals. The organization charges flat rates of $475 for medical-only reviews, $300 for cost-only reviews conducted by coders, and $700 for comprehensive hybrid reviews. All written reports must be submitted within seven calendar days of assignment, and ProPeer must maintain strict compliance with quality assurance, conflict-of-interest, and clinical reviewer qualification standards as mandated by Michigan law.
The prime contractor is ProPeer Resources, LLC, a Texas limited liability company, operating under contract number 230000000489 with the Michigan Department of Insurance and Financial Services. The contract period of performance commenced on March 1, 2023, with an initial expiration date of February 28, 2026; Change Notice No. 2 exercised the first available one-year renewal extension, extending the contract through February 28, 2027, with three additional optional one-year renewals available at the State's sole discretion. The estimated aggregate contract value is $150,000. The contract type is classified as Department of Insurance and Financial Service, covering the state of Michigan, with all payments required on a NET 45-day basis.
Files
| File | Type | Posted |
|---|---|---|
| 230000000489.pdf |
Quick answers
Who holds contract MA230000000489?
Contract MA230000000489 was awarded to PROPEER RESOURCES, LLC by Department of Insurance and Financial Service in Michigan on March 1, 2023.
How much is contract MA230000000489 worth?
Its cumulative value is $150,000.
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