Independent Medical Review

Agency: City of Dallas
State: Texas
Type of Government: State & Local
NAICS Category:
  • 541611 - Administrative Management and General Management Consulting Services
  • 621111 - Offices of Physicians (except Mental Health Specialists)
Posted Date: Feb 13, 2020
Due Date: Feb 27, 2020
Solicitation No: BQZ20-00012542
Bid Source: Please Login to View Page
Contact information: Please Login to View Page
Bid Documents: Please Login to View Page
Project: Independent Medical Review
Ref. #: BQZ20-00012542
Type: RFSQ
Status:
Open
Open Date: Jan 23rd 2020, 1:00 PM CST
Questions Due Date: Feb 7th 2020, 4:00 PM CST
Close Date: Feb 27th 2020, 2:00 PM CST
Days Left: 14
Project Description:

The City of Dallas (sometimes hereafter referred to as the “City”) is seeking submittals from a company with credentialed physicians (sometimes hereinafter called “Firm” or, plural, “Firms”) to this Request for Qualifications (the “RFQ”) for the purpose of providing Independent Medical Examination, Peer Review and Bill Review Services for a wide range of insurance lines, including bodily injury, automobile, workers’ compensation, disability and federal insurance programs by reviewing documents and advising the City in matters pertaining to the evaluation of medical and health-related claims for accuracy and legitimacy.

FOR TECHNICAL ISSUES OR SUPPORT PLEASE CONTACT THE BONFIRE SUPPORT TEAM DIRECTLY AT 800-354-8010

CONTENT AND PROCUREMENT PROCESS QUESTIONS SHOULD BE ADDRESSED TO THE CITY BUYER THROUGH THE OPPORTUNITY Q&A SECTION ON THIS SOLICITATION

Important Events:
Commodity Codes:
NIGP 91869 Insurance Consulting
NIGP 91874 Legal Consulting
NIGP 91878 Medical Consulting
NIGP 95352 Insurance and Insurance Services (Not otherwise classified)
NIGP 95861 Insurance and Risk Management Services
NIGP 96149 Legal Services, Attorneys
NIGP 96150 Legal Services Including Depositions and Expert Witness Testimony
Supporting Documentation:
File Type Description Date Created Actions
01 Specifications for Independent Medical Review BQZ20-00012542.doc Other
This document is for informational purposes only and should not be uploaded as part of the "proposal". By submitting a response, the respondent attests to have read ALL associated documents and agrees to the terms and conditions outlined in the specifications and other documents.
Read more...
Jan 22nd 2020, 1:05 PM CST -
01a Exhibit-Billing Procedures legal services attachment.doc Other
Jan 22nd 2020, 3:36 PM CST -
02. General Terms and Conditions and City Procurement Forms.pdf Documentation
Terms and Conditions and standard required City Forms. All forms included in this document shall be filled out in full and submitted with proposal
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Jan 22nd 2020, 1:54 PM CST -
03a - Business Inclusion and Development Forms (to be turned in with submission).pdf Documentation
BID Forms to fill out and return with submission. Will be counted toward total evaluation
Read more...
Jan 22nd 2020, 2:20 PM CST -
03b - Business Inclusion and Development Form 213 (to be turned in at Buyers or B.I.D. Request).xls Documentation
BID Document to be turned in at Buyer request (after solicitation is closed)
Read more...
Jan 22nd 2020, 2:29 PM CST -
03c - Business Inclusion and Development (forms to turn in at Buyer or B.I.D. request).pdf Documentation
BID Forms to be turned in at Buyer or B.I.D. request (after solicitation is closed).
Read more...
Jan 23rd 2020, 9:18 AM CST -
04. SAMPLE Medical Services Contract.doc Other
Sample Contract. Final contract will be based on this, but not exact. If you have any redlining to this Sample, you must submit it by the solicitation question due date
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Jan 22nd 2020, 3:37 PM CST -
05. Independent Medical Review Insurance Requirements.pdf Other
By submitting a proposal, you acknowledge that, if awarded the contract, your company can furnish within fifteen (15) days a valid insurance certificate meeting all the insurance requirements set forth in this document. Any questions or markups must be addressed during the open Q&A time frame.
Read more...
Jan 22nd 2020, 2:53 PM CST -
06. Addendum 01.doc Other
Document - Addendum 01 Posted
Jan 28th 2020, 12:57 PM CST -
06a. Independent Medial Review MWBE list (attachment for Addendum 01).xlsx Other
Document - Addendum 01 Posted
Jan 28th 2020, 12:57 PM CST -
07. Sign in sheet for pre-proposal RFQ meeting.pdf Other
Document - Sign in sheet for pre-proposal meeting posted
Jan 31st 2020, 11:43 AM CST -
08. Addendum 02 Closing Date Changed and QA Posted.doc Other
Document - Addendum 02 Posted *Closing Date Change* and City Responses to Questions
Read more...
Feb 13th 2020, 8:53 AM CST -

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Requested Information:

Listed below are the documents and information needed to complete your submission:

Required Acknowledgements
Name Type # Files Requirement
I have read and agree to comply with the General Terms and Conditions. https://dallascityhall.com/departments/procurement/Pages/general_conditions.aspx Data Type: True/False N/A Required
I do not currently have an employment or other business relationship with a local government officer, or a family member of the officer. I agree to report such a conflict of interest by the 7th business day after the date the vendor becomes aware of facts per Section 176.001 (1-a), Local Government Code. http://citysecretary2.dallascityhall.com/pdf/code/12A.PDF Data Type: True/False N/A Required
I have read and agree to comply with the Code of Ethics per Chapter 12A of the City of Dallas Code of Ordinances. http://library.amlegal.com/nxt/gateway.dll/Texas/dallas/cityofdallastexascodeofordinances?f=templates$fn=default.htm$3.0$vid=amlegal:dallas_tx Data Type: True/False N/A Required
I have read and agree to comply with the City's Environmental Policy. https://dallascityhall.com/departments/OEQ/Pages/contractors.aspx Data Type: True/False N/A Required
I attest that the company submitting this bid does not have an outstanding debt to the City of Dallas. Data Type: True/False N/A Required
RFQ Procurement Documents
Name Type # Files Requirement
General Terms and Conditions and City Procurement Forms.pdf File Type: PDF (.pdf) Multiple Required
Medical Examiner Review Specific Documents
Name Type # Files Requirement
Transmittal Letter File Type: Any (.*) Multiple Required
Table of Contents File Type: Any (.*) Multiple Required
Submittal File Type: Any (.*) Multiple Required
B.I.D.
Name Type # Files Requirement
03a Business Inclusion and Development Forms File Type: Any (.*) Multiple Required
03b Business Inclusion and Development Form 213 File Type: Any (.*) Multiple Optional
03c - Business Inclusion and Development (forms to turn in at Buyer or B.I.D. request).pdf File Type: Any (.*) Multiple Optional

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