Workers' Compensation Bill Review and Cost-Containment Services

Polk County, Iowa, is seeking a provider for workers' compensation medical bill review and related cost-containment services, including PPOs, provider networks, pharmacy management, utilization review, durable medical equipment, mailroom, and bill-pay services.

Polk County > Procurement and Purchasing Division > Risk Management


General
Open
198-2627
Oct 06, 2026 07:00 PM
Sep 16, 2026 01:54 PM
3 years base + 2 × 1 year options
Request for Proposal (RFP)
Local
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Original Solicitation Links
Contact
shari.harvey@polkcountyiowa.gov
+15152863225
Submission Instructions
Description

Polk County is soliciting one provider for workers' compensation medical bill review and related cost-containment services. The scope includes preferred provider organizations, medical provider networks, pharmacy benefit management, durable medical equipment, utilization review, processing of HCFA forms and chart notes, bill sorting and PDF distribution, mailroom services, and bill payment. The provider must disclose savings percentages and all applicable fees, process bills within a maximum of 30 days, possess all required permits, licenses, and professional credentials, and describe its ability to integrate with Polk County's third-party administrator claims system. The proposal must address staffing and developer experience, supported software integrations, three references for similar services, administrative capabilities, and environmental sustainability initiatives. The contract is for three years beginning January 1, 2027, with two possible one-year extensions. A completed Signature Page is required, and insurance coverage must be maintained under the attached requirements.

Classification Codes
NAICS524298All Other Insurance Related Activities
PSCQ601Medical Coding and Auditing
Smart Codes
medical bill reviewworkers compensation servicespharmacy management
Specifications
Service
Timeline
Sep 16, 2026-Publication Date
Sep 23, 2026 07:00 PM-Questions Due
Sep 25, 2026-Answers to Questions Published
Oct 06, 2026 07:00 PM-Proposal Due
Jan 1, 2027-Contract Start
Requirements
Required
  • Workers' Compensation
  • Employers' Liability — $500,000.00
  • Commercial General Liability — $1,000,000.00
  • Automobile Liability — $1,000,000.00
  • Excess Liability/Umbrella
Required
  • Minimum 3 references
Location
Local Preference:Local Preference
Documents
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