Independent Review Organization (IRO) for PRIRA reviews
Ended State & local contract Michigan Awarded
- Contract number
- MA230000000503
- Awardee
- Federal Hearings and Appeals Services, LLC
- Contracting organization
- Department of Insurance and Financial Service
Contract facts
- Cumulative value
- $120,000
- End date
- Points of contact
-
- Darcie Payne payned3@michigan.gov (517) 930-9402
- 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 provides Independent Review Organization (IRO) services for external medical reviews under Michigan's Patient's Right to Independent Review Act (PRIRA). The contract encompasses comprehensive medical review services with flat-rate pricing structures: $447.00 for standard reviews, $490.00 for expedited reviews, and $447.00 for experimental/investigational reviews. Federal Hearings and Appeals Services, LLC delivers all administrative functions including case intake, conflict-of-interest screening, medical review, quality assurance, and reporting through a secure HIPAA-compliant system. The contractor maintains URAC accreditation and operates a panel of over 150 board-certified physicians across all medical specialties, guaranteeing 100 percent timeliness with decision delivery within 14 days for standard reviews and 36 hours for expedited reviews.
The prime contractor is Federal Hearings and Appeals Services, LLC, located in Plymouth, Pennsylvania, under a contract with the State of 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 has been extended through February 28, 2028. The contract type is a Department of Insurance and Financial Services procurement with a current value of $120,000.00 and an estimated aggregate contract value of $120,000.00 over the full term. Geographic coverage includes the State of Michigan, with state program management conducted from the DIFS office located at 530 West Allegan Street, Lansing, Michigan.
Files
| File | Type | Posted |
|---|---|---|
| 230000000503.pdf |
Quick answers
Who holds contract MA230000000503?
Contract MA230000000503 was awarded to Federal Hearings and Appeals Services, LLC by Department of Insurance and Financial Service in Michigan on March 1, 2023.
How much is contract MA230000000503 worth?
Its cumulative value is $120,000.
On GovTribe
See this contract's full record
- Every award placed under it, line item and file
- Track it in your pipeline
- Similar state and local contracts and opportunities
- Ask GovTribe AI about this contract