When is the submission deadline?

Submissions are due July 17, 2026. Questions must be submitted by June 24, 2026.

It was issued by Department Of Labor And Economic Opportunity. The work is located in Lansing, Michigan, United States.

Who is a good fit for this opportunity?

Experience providing medical bill review services for workers’ compensation programs. Employs licensed, registered, or certified health care professionals. Strong understanding of MCL 418.315 and HCS rules. Capability to handle large-volume claims and address reconsideration requests.

Medical Bill Review Service (Due July 17, 2026)

Overview

Financial, Legal, HR & Staffing

Lansing, Michigan, United StatesPosted: June 20th, 2026Deadline: July 17th, 2026

Fit Score

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SUMMARY

Seeking a vendor to provide medical bill review services under Workers' Disability Compensation Act regulations in Michigan, ensuring compliance and professional oversight.

KEY REQUIREMENTS

Must be currently certified with WDCA or meet WDCA’s certification requirements
Must have a Technical Review Program in place
Must have a Professional Review Program in place
Must have access to state fee schedules
Must comply with IRS Publication 1075 and Michigan Department of Treasury Safeguard Requirements
Must maintain specified insurance coverage including Professional Liability and Cyber Liability
Must be able to perform SFTP file transfers for medical bills and EORs

CONTRACT DURATION

36 months

TIMELINE

RFP issue date: June 17th, 2026

Deadline for bidder questions: June 24th, 2026

Anticipated answers posted: June 26th, 2026

Proposal deadline: July 17th, 2026

Anticipated contract begin date: October 1st, 2026

QUESTION DEADLINE

June 24th, 2026

CONTACTS

Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

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Issuing Agency

Department Of Labor And Economic Opportunity

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

The selected vendor will be responsible for providing a comprehensive medical bill review service in accordance with MCL 418.315 of the Workers' Disability Compensation Act and Health Care Services (HCS) rules. The program must include the review of inpatient hospital care bills, those with total medical claim payments exceeding $20,000, and any cases where inappropriate care is suspected. Reviews must be conducted by licensed, registered, or certified health care professionals.

Criteria applied to bill reviews should be developed by qualified health care professionals, who must also address reconsideration requests from medical providers. For any bills with a service date preceding the date of injury, the vendor is required to directly contact the appropriate Technician to confirm injury dates, ensuring timely payment processing. The vendor must have a professional and compliant program to manage these responsibilities efficiently. All questions regarding this RFP must be submitted by June 24, 2026.

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Frequently asked questions

When is the submission deadline?: Submissions are due July 17, 2026. Questions must be submitted by June 24, 2026.
Who issued this RFP?: It was issued by Department Of Labor And Economic Opportunity. The work is located in Lansing, Michigan, United States.
Who is a good fit for this opportunity?: Experience providing medical bill review services for workers’ compensation programs
Employs licensed, registered, or certified health care professionals
Strong understanding of MCL 418.315 and HCS rules
Capability to handle large-volume claims and address reconsideration requests

Analysis generated by Settle AI from the source RFP.

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