DOL's Medical Provider Network/Medical Bill Processing Requirement Sources Sought Notice

The Department of Labor's Office of Workers' Compensation Programs (OWCP) is seeking information from interested vendors to evaluate current industry capabilities for Medical Provider Network/Medical Bill Processing Services. The contractor will provide a nationwide medical provider network and medical bill processing services to ensure timely and accurate medical bill adjudication and provision of medical services. The scope of work includes managing a robust network of contracted, qualified, and appropriate medical specialists nationwide, timely scheduling and communication of appointments, delivery of timely and complete medical reports, compliance with applicable provisions of the Privacy Act of 1974, and security and confidentiality of claimant medical records. Some key requirements include: • Managing a network of medical specialists • Processing medical bills and requests for authorization • Providing call center services for provider and claimant inquiries • Maintaining a secure imaging system for government access • Providing weekly payment files for OWCP certification and transmission to the Treasury Department The period of performance is expected to be 15 months for the Base Period, with four 12-month option periods, and potentially two Award Terms of 12 and 9 months.