Attachment_J.1.4_-_Appendix_D_WCRC_Monthly_Status_Report_Template.pdf
PDF 20 KB Posted
- Attached to
- Workers Compensation Review Contractor Federal contract opportunity
- Solicitation number
- RFP-CMS-2016-8A-0008
About this file
SOW Appendix D
View the file
Other files for this federal contract opportunity
Show all 50
Workers Compensation Review Contractor has more files on GovTribe.
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Boston Philadelphia Chicago Dallas San Francisco Seattle Total Avg per case Ending Average processing time per case (APTPC)**: All Cases = , Eligible Only = , Eligible cases never DISP or DEVP = WCCCS Scanning Issues: Reported = , Resolved = , Pending = Priority Cases: In = , Out =
Boston Philadelphia Chicago Dallas San Francisco Seattle Total Avg per case Ending *For cases received or reopened prior to June 1, 2009, Rx proposed is Rx recommended unless denied liability is alleged and proven.
**APTPC statistics for eligible cases never DISP or DEVP started 06/17/09.
***For cases received or reopened prior to June 1, 2009, Rx proposed is Rx recommended unless denied liability is alleged and proven. Data collection for these columns began April 1, 2009.
Appendix D
Minus transfers out by ViPS of unworked cases
Inventory Data for Last Month
Beginning (includes adjustments) Plus receipts from COBC/ROs
Plus receipts from COBC/ROs
Minus transfers out by ViPS of unworked cases
Monthly Statistical Report (Month Year)
Minus submitted to Regions
Region Total Proposed
WCMSA
Total Settlement
Amount
Eligible Cases
Submitted to Regions
Ineligible Cases
Submitted to Regions
Total Cases
Submitted to Regions
Monetary Data Only for Eligible Cases Submitted to Regions
WCRC Rx Recommended*
Submitter Rx Proposed*
WCRC Medical Recommended
Submitter Medical
Proposed
Total WCRC Recommended
WCMSA
Minus submitted to Regions
Monetary Data Only for Eligible Cases Submitted to Regions Total
Settlement Amount
Submitter Rx Proposed***
WCRC Rx Recommended*
Inventory Data for Current Contract Period
Beginning (includes adjustments)
Cumulative Contract Period Statistics (from Month/Day/Year through Month/Day/Year)
Total Proposed
WCMSA
Total WCRC Recommended
WCMSA
Submitter Medical
Proposed***
WCRC Medical Recommended**
*Region
Total Cases
Submitted to Regions
Ineligible Cases
Submitted to Regions
Eligible Cases
Submitted to Regions
Sheet1
File details come from the government source that posted it. Updated .