S23DWC036- Independent Bill Review

The Department of Industrial Relations (DIR) Division of Workers Compensation (DWC) in the state of California is seeking to contract with an independent bill review organization (IBRO) to resolve medical billing disputes referred to the IBRO by DWC under labor code and regulations. The selected IBRO will be responsible for migrating existing IBR data, developing procedures and workflow manuals, creating a web-based online management system, and executing the independent bill review (IBR) procedures. The RFP specifies that proposals should not exceed $335 per review performed under this contract, and that proposals exceeding this amount may be deemed non-responsive and ineligible for award. The RFP outlines minimum qualifications for the IBRO, as well as proposal requirements, evaluation criteria, and post-award requirements. Proposals are due by August 30, 2024, and the contract is intended to begin on October 1, 2024.

The contract opportunity is open to all qualified organizations, and there are no set-aside designations or restrictions on the types of organizations that can respond. The RFP does not list any incumbent vendors or current contractors, and it does not specify any existing infrastructure or technology that requires integration. The total budget for the contract is $0.00, as the services performed under this contract will be billed independently and directly by the selected IBRO to the claims administrator or provider.