Workers' Compensation Medical Bill Review Services

The City of Pasadena (City) is soliciting proposals from qualified firms to provide state­ of-the-art Workers' Compensation Medical Bill Review services for a term of five years.

The Risk Management Division of the City Managers Office is responsible for managing the City's Workers' Compensation Program. Risk Management staff administers Workers’ Compensation claims for all City Departments. Over the past three fiscal years, the City's Workers' Compensation Program has processed an average of 24,425 Workers' Compensation transactions. Each medical bill received must be reviewed for compliance and reconciled with the State's fee schedule for medical services. This is a critical cost containment component of the City's Workers' Compensation Program, as the fee schedule for medical services is substantially lower than health care providers' usual and customary charges. The City is seeking a qualified vendor to review medical bills in a timely and accurate manner in compliance with all applicable regulations to achieve maximum cost savings.