IRO for Auto No-fault Utilization Review Appeals
Ended State & local contract Michigan Awarded
- Contract number
- MA230000000491
- Awardee
- MICHIGAN PEER REVIEW ORGANIZATION
- 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
- Darcie Payne payned3@michigan.gov (517) 930-9402
- Jeffrey Hayden haydenj3@michigan.gov (517) 230-2393
- Drew Simon simond13@michigan.gov (517) 930-7725
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 Compiled Law sections 500.3157a and 500.3157. The contract encompasses three distinct review service types: medical reviews, cost reviews, and hybrid medical and cost reviews. These services enable the state to obtain independent medical and cost evaluations of auto insurance provider appeals through a qualified, accredited review organization. The IRO must complete all case reviews within seven calendar days of assignment and maintain URAC accreditation while employing qualified clinical peer reviewers with appropriate medical credentials and ensuring no conflicts of interest.
The prime contractor for this IDV is Michigan Peer Review Organization, operating as iMPROve Health, under contract with the State of Michigan Department of Insurance and Financial Services. The contract was originally awarded on March 1, 2023, with an initial three-year term extending through February 28, 2026, and includes three additional one-year renewal options. Change Notice 2 exercises the first one-year extension, extending the contract through February 28, 2027. The contract operates on a flat-rate, all-inclusive pricing structure at $550 per medical review, $600 per cost review, and $800 per hybrid review, with an estimated aggregate contract value of $150,000. This is a state-specific contract covering Michigan with payment terms of net 45 days via electronic funds transfer.
Files
| File | Type | Posted |
|---|---|---|
| 230000000491.pdf |
Quick answers
Who holds contract MA230000000491?
Contract MA230000000491 was awarded to MICHIGAN PEER REVIEW ORGANIZATION by Department of Insurance and Financial Service in Michigan on March 1, 2023.
How much is contract MA230000000491 worth?
Its cumulative value is $150,000.
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