Independent Review Organization (IRO) for PRIRA reviews

Ended State & local contract Michigan Awarded

Contract number
MA230000000501
Awardee
Keystone Peer Review Organization, Inc.
Contracting organization
Department of Insurance and Financial Service

Contract facts

Cumulative value
$120,000
End date

Contract details come from michigan.gov. Updated .

About this contract

This indefinite delivery vehicle provides Independent Review Organization (IRO) services for Patient's Right to Independent Review Act (PRIRA) reviews under Michigan state law. The contract authorizes Keystone Peer Review Organization, Inc. to conduct external medical reviews and issue written recommendations to the Director of the Department of Insurance and Financial Services regarding adverse determinations made by health carriers. Services available under this IDV include standard reviews completed within 14 days at $425 per review, expedited reviews completed within 36 hours at $475 per review, and experimental or investigational reviews at $600 per review. All pricing is firm and all-inclusive of costs throughout the contract term.

The prime contractor is Keystone Peer Review Organization, Inc. (operating as Kepro), with the Department of Insurance and Financial Services serving as the contracting organization. The initial contract period runs from March 1, 2023, through February 28, 2026, with an exercised first two-year extension extending performance through February 28, 2028, and two additional optional two-year renewal periods available at the State's discretion. The contract covers the state of Michigan and carries an estimated aggregate value of $120,000.00. This is a firm-fixed-price contract type with payment required via Electronic Funds Transfer within 45 days of invoice.

Files

File Type Posted
230000000501.pdf PDF

Quick answers

Who holds contract MA230000000501?

Contract MA230000000501 was awarded to Keystone Peer Review Organization, Inc. by Department of Insurance and Financial Service in Michigan on March 1, 2023.

How much is contract MA230000000501 worth?

Its cumulative value is $120,000.

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