15-Pricing Sheet - Final.xlsx
XLSX spreadsheet 23 KB Posted
- Solicitation number
- 25003JD
- Issued by
- Broward County, Fort Lauderdale City, Florida
About this file
This is a pricing sheet for the Broward Sheriff's Office (BSO) in Florida's Request for Letters of Interest (RLI) soliciting Workers' Compensation Third-Party Administrative Services. The document outlines a comprehensive pricing structure for workers' compensation administrative services over an initial three-year contract term, with services including claims administration, triage, early intervention, telephonic and field medical case management, grievance/dispute handling, and prospective review. The pricing sheet contains 29 line items covering various services from basic claims administration to specialized services like vocational rehabilitation, return-to-work programs, and hospital bill auditing. BSO requires monthly billing for claims administrative services and requests that proposers confirm their ability to bill monthly through the Bonfire platform.
The pricing structure features annual flat fees locked for the first three years, with subsequent annual increases limited to the lesser of 3% or the Consumer Price Index for Miami-Fort Lauderdale. The contract includes both flat-rate annual services and per-occurrence charges for specific services such as medical bill reviews, pre-certification services, and various types of claim handling. BSO references historical claims data from 2019-2024 (Exhibit D - Loss Run - Claim Report) as the basis for pricing calculations. The document also includes provisions for one-time fees related to implementation, data transfer, hardware/software upgrades, and deposits for claims accounts, with many items allowing for $0.00 pricing if services are included at no additional cost.
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PRICING SHEET
RLI 25003JD WORKERS COMPENSATION THIRD PARTY ADMINISTRATIVE SERVICES
PRICING SHEET
| ITEM | DESCRIPTION | QUANTITY | UNIT PRICE | Optional field for additional information - | ||
| do not provide pricing or cost information in this section. | NOTES |
1 CLAIMS ADMINISTRATION SERVICES | YEAR 1 1 YEAR $ - 0 PLEASE PROVIDE ANNUAL FLAT FEE FOR CLAIMS ADMINISTRATION SERVICES FOR YEAR (1) ONE OF INITIAL THREE (3) YEAR CONTRACT.
BSO IS REQUESTING PROPOSERS TO PROVIDE AN ANNUAL LUMP SUM, FLAT FEE, PER YEAR, AS PER SCOPE OF SERVICES STATED IN THIS SOLICITATION AND BASED ON CLAIMS INFORMATION (EXHIBIT D - LOSS RUN - CLAIM REPORT - 2019-2024) .
THE ANNUAL LUMP SUM, FLAT FEE IS TO INCLUDE TRIAGE, EARLY INTERVENTION, TELEPHONIC AND FIELD MEDICIAL CASE MANAGEMENT, INCLUDING TRAVEL RELATED EXPENSES, GRIEVANCE/DISPUTE HANDLING, AND PROSPECTIVE REVIEW (DIAGNOSTICS, ETC.).
BILLING FOR CLAIMS ADMINISTRATIVE SERVICES IS BEING REQUESTED BY BSO TO BE BILLED MONTHLY. PLEASE RESPOND TO QUESTION IN BONFIRE FOR THIS ITEM, CONFIRMING YOUR ABILTIY TO BILL MONTHLY, AND IF NOT, WHAT IS YOUR BILLING ABILITY? ALL FEES ARE BASED UPON AN INITIAL THREE (3) YEAR TERM AGREEMENT WITH THE FLAT RATE LOCKED FOR THE FIRST THREE (3) ANNUAL SERVICE PERIODS, AND THEN MAY HAVE AN ANNUAL INCREASE EACH YEAR OF THE LESSER OF 3% OR CPI ALL URBAN CONSUMERS, MIAMI-FORT LAUDERDALE, FL INDEX FOR CATEGORY OTHER GOODS AND SERVICES.
2 CLAIMS ADMINISTRATION SERVICES | YEAR 2 1 YEAR $ - 0 PLEASE PROVIDE ANNUAL FLAT FEE FOR CLAIMS ADMINISTRATION SERVICES FOR YEAR (2) TWO OF INITIAL THREE (3) YEAR CONTRACT.
BSO IS REQUESTING PROPOSERS TO PROVIDE AN ANNUAL LUMP SUM, FLAT FEE, PER YEAR, AS PER SCOPE OF SERVICES STATED IN THIS SOLICITATION AND BASED ON CLAIMS INFORMATION (EXHIBIT D - LOSS RUN - CLAIM REPORT - 2019-2024) .
THE ANNUAL LUMP SUM, FLAT FEE IS TO INCLUDE TRIAGE, EARLY INTERVENTION, TELEPHONIC AND FIELD MEDICIAL CASE MANAGEMENT, INCLUDING TRAVEL RELATED EXPENSES, GRIEVANCE/DISPUTE HANDLING, AND PROSPECTIVE REVIEW (DIAGNOSTICS, ETC.).
BILLING FOR CLAIMS ADMINISTRATIVE SERVICES IS BEING REQUESTED BY BSO TO BE BILLED MONTHLY. PLEASE RESPOND TO QUESTION IN BONFIRE FOR THIS ITEM, CONFIRMING YOUR ABILTIY TO BILL MONTHLY, AND IF NOT, WHAT IS YOUR BILLING ABILITY? ALL FEES ARE BASED UPON AN INITIAL THREE (3) YEAR TERM AGREEMENT WITH THE FLAT RATE LOCKED FOR THE FIRST THREE (3) ANNUAL SERVICE PERIODS, AND THEN MAY HAVE AN ANNUAL INCREASE EACH YEAR OF THE LESSER OF 3% OR CPI ALL URBAN CONSUMERS, MIAMI-FORT LAUDERDALE, FL INDEX FOR CATEGORY OTHER GOODS AND SERVICES.
3 CLAIMS ADMINISTRATION SERVICES | YEAR 3 1 YEAR $ - 0 PLEASE PROVIDE ANNUAL FLAT FEE FOR CLAIMS ADMINISTRATION SERVICES FOR YEAR (3) THREE OF INITIAL THREE (3) YEAR CONTRACT.
BSO IS REQUESTING PROPOSERS TO PROVIDE AN ANNUAL LUMP SUM, FLAT FEE, PER YEAR, AS PER SCOPE OF SERVICES STATED IN THIS SOLICITATION AND BASED ON CLAIMS INFORMATION (EXHIBIT D - LOSS RUN - CLAIM REPORT - 2019-2024) .
THE ANNUAL LUMP SUM, FLAT FEE IS TO INCLUDE TRIAGE, EARLY INTERVENTION, TELEPHONIC AND FIELD MEDICIAL CASE MANAGEMENT, INCLUDING TRAVEL RELATED EXPENSES, GRIEVANCE/DISPUTE HANDLING, AND PROSPECTIVE REVIEW (DIAGNOSTICS, ETC.).
BILLING FOR CLAIMS ADMINISTRATIVE SERVICES IS BEING REQUESTED BY BSO TO BE BILLED MONTHLY. PLEASE RESPOND TO QUESTION IN BONFIRE FOR THIS ITEM, CONFIRMING YOUR ABILTIY TO BILL MONTHLY, AND IF NOT, WHAT IS YOUR BILLING ABILITY? ALL FEES ARE BASED UPON AN INITIAL THREE (3) YEAR TERM AGREEMENT WITH THE FLAT RATE LOCKED FOR THE FIRST THREE (3) ANNUAL SERVICE PERIODS, AND THEN MAY HAVE AN ANNUAL INCREASE EACH YEAR OF THE LESSER OF 3% OR CPI ALL URBAN CONSUMERS, MIAMI-FORT LAUDERDALE, FL INDEX FOR CATEGORY OTHER GOODS AND SERVICES.
4 MEIDCAL CLAIM ONLY 1 EACH $ - 0 PLEASE PROVIDE YOUR PRICE PER EACH MEDICAL ONLY CLAIM
5 LOST TIME CLAIM 1 EACH $ - 0 PLEASE PROVIDE YOUR PRICE PER EACH LOSS TIME CLAIM
6 CONVERSION OF MEDICAL ONLY CLAIM TO LOSS TIME CLAIM 1 EACH $ - 0 PLEASE PROVIDE YOUR PRICE PER CLAIM FOR CONVERSION OF MEDICAL ONLY CLAIM TO LOST TIME
7 MEDICAL BILL REVIEW 1 EACH $ - 0 PLEASE PROVIDE COST PER EACH MEDICAL BILL REVIEW, INCLUDING SCREENING ON ALL HOSPITAL BILLS, RDI/CPI REPORTING TO STATE OF FLORIDA; NETWORK ACCESS, RE-PRICING AND ELECTRONIC MEDICAL BILL DATA FILE TO BSO
8 STANDARD BILL REVIEW 1 EACH $ - 0 PLEASE PROVIDE YOUR COST PER STANDARD BILL REVIEW IN ACCORDANCE WITH FLORIDA FEE SCHEDULE, INCLUDING SCREENING OF ALL HOSPITALS, EDI/CPI REPORTING TO STATE OF FLORIDA; NETWORK, RE-PRICING
9 ENHANCED BILL REVIEW 1 EACH $ - 0 PROVIDE COST OF ENHANCED BILL REVIEW (BASED ON FLAT FEE). IF YOU NEED TO ATTACH ADDITIONAL DOCUMENTAITON, PLEASE ATTACH IN BONFIRE, LABEL AS PRICING SHEET ADDITIONAL INFORMATION AND REFERENCE LINE ITEM 9.
10 HARDWARE/SOFTWARE UPGRADES 1 EACH $ - 0 PLEASE PROVIDE ANY CHARGES FOR HARDWARE/SOFTWARE UPGRADE COSTS ASSOCIATED WITH CLAIM MANAGEMENT (IF ANY). THIS SHALL BE A ONE-TIME FEE. IF NO COST, PLEASE ENTER IN UNIT PRICE $0.00.
11 IMPLEMENTATION/DATA TRANSFER 1 EACH $ - 0 PLEASE PROVIDE ANY CHARGES FOR IMPLEMENTATION/DATA TRANSFER (IF ANY). THIS SHALL BE A ONE-TIME FEE.
12 ASSUME PRIOR MEDICAL ONLY CLAIMS 1 EACH $ - 0 PLEASE PROVIDE ANY CHARGES FOR ASSUME PRIOR MEDICAL ONLY CLAIMS (IF ANY). THIS SHALL BE A ONE-TIME FEE.
13 ASSUME PRIOR LOST TIME CLAIMS 1 EACH $ - 0 PLEASE PROVIDE ANY CHARGES FOR ASSUME PRIOR LOST TIME CLAIMS (IF ANY). THIS SHALL BE A ONE-TIME FEE.
14 ANCILLARY COSTS/OTHER COSTS (PLEASE DETAIL AND EXPLAIN 1 EACH $ - 0 PLEASE PROVIDE ANY CHARGES FOR ANCILLARY COSTS/OTHER COSTS (IF ANY - PLEASE DETAIL AND EXPLAIN IN PROPOSERS REPONSE COLUMN). THIS SHALL BE A ONE-TIME FEE. IF NO COST, PLEASE ENTER IN UNIT PRICE $0.00.
15 DEPOSIT REQUIRED TO FUND CLAIMS ACCOUNT/IMPRESS 1 EACH $ - 0 PLEASE PROVIDE ANY CHARGES FOR DEPOSIT REQUIRED TO FUND CLAIMS ACCOUNT/IMPRESS (IF ANY). THIS SHALL BE A ONE-TIME FEE. IF NO COST, PLEASE ENTER IN UNIT PRICE $0.00.
16 NOTICE OF INJURY SERVICE COST 1 EACH $ - 0 PLEASE PROVIDE THE COST PER OCCURRENCE FOR NOTICE OF INJURY (WC1), INCLUDING TELEPHONIC INTAKE, HARD COPY DELIVERY TO BSO, AND ELECTRONIC SUBMISSION FROM DATA FILE TO BSO. IF THERE IS NO COST, PLEASE ENTER A UNIT PRICE OF $0.00.
17 TELEPHONIC CASE MANAGEMENT 1 HOUR $ - 0 PROVIDE HOURLY RATE FOR TELEPHONIC CASE MANAGEMENT IN EXCESS OF THE NUMBER OF HOURS THAT YOUR FIRM WILL PROVIDE AT NO COST. PLEASE STATE IN PROPOSERS RESPONSE COLUMN THE HOW MANY HOURS PER MONTH ARE INCLUDED AT NO COST.
18 FIELD CASE MANAGEMENT 1 HOUR $ - 0 PROVIDE HOURLY RATE FOR FIELD CASE MANAGEMENT IN EXCESS OF THE NUMBER OF HOURS THAT YOUR FIRM WILL PROVIDE AT NO COST. PLEASE STATE IN PROPOSERS RESPONSE COLUMN THE HOW MANY HOURS PER MONTH ARE INCLUDED AT NO COST.
19 PHARMACY BENEFIT PROGRAM 1 EACH $ - 0 PLEASE PROVIDE COST PER OCCURRENCE OF PHARMACY BENEFIT PROGRAM WHICH INCLUDES BILL REVIEW AND EDI/CPI REPORTING TO STATE OF FLORIDA AND ELECTRONIC RX BILL DATA FILE TO BSO.
20 PRE-CERT IN-PATIENT SERVICES 1 EACH $ - 0 PLEASE PROVIDE COST PER OCCURRENCE OF PRE-CERT IN-PATIENT SERVICES.
21 PRE-CERT OUT-PATIENT SERVICES 1 EACH $ - 0 PLEASE PROVIDE COST PER OCCURRENCE OF PRE-CERT OUT-PATIENT SERVICES.
22 CONCURRENT REVIEW, EXCLUDING COST OF PHYSICAN ADVISORS 1 EACH $ - 0 PLEASE PROVIDE COST PER CONCURRENT REVIEW, EXCLUDING COST OF PHYSICIAN ADVISORS.
23 PEER REVIEW, EXCLUDING COST OF PHYSICIAN ADVISORS 1 EACH $ - 0 PLEASE PROVIDE COST PER PEER REVIEW, EXCLUDING COST OF PHYSICIAN ADVISORS.
24 PHYSICAN REVIEW, EXCLUDING COST OF PHYSICAN ADVISORS 1 EACH $ - 0 PLEASE PROVIDE COST PER CLAIM FOR PHYSICAN REVIEW, EXCLUDING COST OF PHYSICAN ADVISORS.
25 UTILIZATION REVIEW 1 HOUR $ - 0 PROVIDE COST PER HOUR FOR UTILIZATION REVIEW. IF THERE IS NO CHARGE TO BSO, PLEASE ENTER IN UNIT PRICE $0.00.
26 HOSPITAL BILL AUDITING 1 HOUR $ - 0 PLEASE PROVIDE COST PER HOUR FOR HOSPITAL BILL AUDITING (DESKTOP OR IN-HOUSE AT MEDICAL FACILITY), INCLUDING TRAVEL-RELATED EXPENSES.
27 VOCATIONAL REHABILITATION SERVICES 1 HOUR $ - 0 PROVIDE COST PER HOUR FOR VOCATIONAL REHABILITATION SERVICES. IF THERE IS NO CHARGE TO BSO, PLEASE ENTER IN UNIT PRICE $0.00.
28 RETURN TO WORK PROGRAM 1 HOUR $ - 0 PLEASE PROVIDE A COST PER HOUR FOR RETURN TO WORK PROGRAMS (INCLUDING TRAVEL-RELATED EXPENSES).
29 ADDITIONAL SERVICES RELATED TO WORKERS COMPENSATION 1 EACH $ - 0 PLEASE PROVIDE ANY ADDITIONAL SERVICES AND RELATED COSTS NOT STATED IN THIS RLI, RELATING TO WORKERS COMPENSATION. IF THERE ARE NO ADDITIONAL SERVICES/COSTS, PLEASE ENTER $0.00 ON THIS LINE ITEM. IF YOU NEED TO ATTACH ADDITIONAL DOCUMENTATION, PLEASE ATTACH IN BONFIRE, LABEL AS PRICING SHEET ADDITIONAL INFORMATION AND REFERENCE LINE ITEM 29.
&"-,Bold"&18&K003300RLI # 25003JD | Workers Compensation Third-Party Administrative Services &G
&"Arial,Regular"&9&K003300Page &P of &N image1.jpeg
File details come from the government source that posted it. Updated .