Workers' Compensation Medical Case Management

Bid Solicitation: ADSPO18-00007659 Header InformationBid Number: ADSPO18-00007659 Description: Workers' Compensation Medical Case Management Bid Opening Date: 10/30/2017 01:00:00 PM Purchaser: Kim Kwong Organization: State of Arizona Department: ADSPO - State Procurement Office Location: SPO - State Procurement Office Fiscal Year: 18 Type Code: SW - Statewide Allow Electronic Quote: Yes Alternate Id: Required Date: 11/28/2017 Available Date : 10/10/2017 05:00:00 PMInfo Contact: Bid Type: OPEN Informal Bid Flag: No Purchase Method: Open Market Pre Bid Conference: None Bulletin Desc: Seeking the appropriate experience, expertise and licensure required to provide a full range of Workers' Compensation medical case management services for the State of Arizona Ship-to Address: Arizona Department of Administration State Procurement Office 100 N 15th Ave. Suite 402 Phoenix, AZ 85007 US Email: spoinvoices@azdoa.gov Phone: (602)542-5511

Bill-to Address: GSD Accounting 100 N. 15th Avenue Suite 202 Phoenix, AZ 85007 US Email: dawn.slater@azdoa.gov Phone: (602)364-4871 Print Format: Bid File Attachments: ADSPO18-00007659_Open First_Summary_Workers Compensation Medical Case Mgt.pdf , ADSPO18-00007659_RFP_Workers Compensation Medical Case Mgt.pdf , Exhibit 1 to Special TsCs - Contractor Insurance Requirements~1.pdf , Exhibit 4 to Special TsCs - Privacy~1.pdf , Exhibit 5 to Special TsCs- Disentanglement~1.pdf , ADSPO18-00007659_Offer Forms_ Workers Compensation Medical Case Management.docx Form Attachments: Bid Method: Request for Proposal (RFP) Item Information Item # 1: ( 948 - 74 ) Be sure to enter a price for this section or else, you will be insusceptible for award. Enter a price for: Medical Case Management Services as per Scope of Work NIGP Code: 948-74 Professional Medical Services (Including Physicians, Pharmacists, and All Specialties) QtyUnit CostUOMTotal Discount Amt.Tax RateTax AmountTotal Cost 1.0 EA - Each Manufacturer: Brand: Model: Make: Packaging: Counties Requiring Service: Copyright © 2017 Periscope Holdings, Inc. - All Rights Reserved. AZ-PAS4 Bid Solicitation: ADSPO18-00007659 Header InformationBid Number: ADSPO18-00007659 Description: Workers' Compensation Medical Case Management Bid Opening Date: 10/30/2017 01:00:00 PM Purchaser: Kim Kwong Organization: State of Arizona Department: ADSPO - State Procurement Office Location: SPO - State Procurement Office Fiscal Year: 18 Type Code: SW - Statewide Allow Electronic Quote: Yes Alternate Id: Required Date: 11/28/2017 Available Date : 10/10/2017 05:00:00 PMInfo Contact: Bid Type: OPEN Informal Bid Flag: No Purchase Method: Open Market Pre Bid Conference: None Bulletin Desc: Seeking the appropriate experience, expertise and licensure required to provide a full range of Workers' Compensation medical case management services for the State of Arizona Ship-to Address: Arizona Department of Administration State Procurement Office 100 N 15th Ave. Suite 402 Phoenix, AZ 85007 US Email: spoinvoices@azdoa.gov Phone: (602)542-5511 Bill-to Address: GSD Accounting 100 N. 15th Avenue Suite 202 Phoenix, AZ 85007 US Email: dawn.slater@azdoa.gov Phone: (602)364-4871 Print Format: Bid File Attachments: ADSPO18-00007659_Open First_Summary_Workers Compensation Medical Case Mgt.pdf , ADSPO18-00007659_RFP_Workers Compensation Medical Case Mgt.pdf , Exhibit 1 to Special TsCs - Contractor Insurance Requirements~1.pdf , Exhibit 4 to Special TsCs - Privacy~1.pdf , Exhibit 5 to Special TsCs- Disentanglement~1.pdf , ADSPO18-00007659_Offer Forms_ Workers Compensation Medical Case Management.docx Form Attachments: Bid Method: Request for Proposal (RFP) Item Information Item # 1: ( 948 - 74 ) Be sure to enter a price for this section or else, you will be insusceptible for award. Enter a price for: Medical Case Management Services as per Scope of Work NIGP Code: 948-74 Professional Medical Services (Including Physicians, Pharmacists, and All Specialties) QtyUnit CostUOMTotal Discount Amt.Tax RateTax AmountTotal Cost 1.0 EA - Each Manufacturer: Brand: Model: Make: Packaging: Counties Requiring Service: Copyright © 2017 Periscope Holdings, Inc. - All Rights Reserved. AZ-PAS4 Header InformationBid Number: ADSPO18-00007659 Description: Workers' Compensation Medical Case Management Bid Opening Date: 10/30/2017 01:00:00 PM Purchaser: Kim Kwong Organization: State of Arizona Department: ADSPO - State Procurement Office Location: SPO - State Procurement Office Fiscal Year: 18 Type Code: SW - Statewide Allow Electronic Quote: Yes Alternate Id: Required Date: 11/28/2017 Available Date : 10/10/2017 05:00:00 PMInfo Contact: Bid Type: OPEN Informal Bid Flag: No Purchase Method: Open Market Pre Bid Conference: None Bulletin Desc: Seeking the appropriate experience, expertise and licensure required to provide a full range of Workers' Compensation medical case management services for the State of Arizona Ship-to Address: Arizona Department of Administration State Procurement Office 100 N 15th Ave. Suite 402 Phoenix, AZ 85007 US Email: spoinvoices@azdoa.gov Phone: (602)542-5511 Bill-to Address: GSD Accounting 100 N. 15th Avenue Suite 202 Phoenix, AZ 85007 US Email: dawn.slater@azdoa.gov Phone: (602)364-4871 Print Format: Bid File Attachments: ADSPO18-00007659_Open First_Summary_Workers Compensation Medical Case Mgt.pdf , ADSPO18-00007659_RFP_Workers Compensation Medical Case Mgt.pdf , Exhibit 1 to Special TsCs - Contractor Insurance Requirements~1.pdf , Exhibit 4 to Special TsCs - Privacy~1.pdf , Exhibit 5 to Special TsCs- Disentanglement~1.pdf , ADSPO18-00007659_Offer Forms_ Workers Compensation Medical Case Management.docx Form Attachments: Bid Method: Request for Proposal (RFP) Pre Bid Conference: None Bulletin Desc: Seeking the appropriate experience, expertise and licensure required to provide a full range of Workers' Compensation medical case management services for the State of Arizona Item Information Item # 1: ( 948 - 74 ) Be sure to enter a price for this section or else, you will be insusceptible for award. Enter a price for: Medical Case Management Services as per Scope of Work NIGP Code: 948-74 Professional Medical Services (Including Physicians, Pharmacists, and All Specialties) QtyUnit CostUOMTotal Discount Amt.Tax RateTax AmountTotal Cost 1.0 EA - Each Manufacturer: Brand: Model: Make: Packaging: Counties Requiring Service: Item # 1: ( 948 - 74 ) Be sure to enter a price for this section or else, you will be insusceptible for award. Enter a price for: Medical Case Management Services as per Scope of Work NIGP Code: 948-74 Professional Medical Services (Including Physicians, Pharmacists, and All Specialties) QtyUnit CostUOMTotal Discount Amt.Tax RateTax AmountTotal Cost 1.0 EA - Each Manufacturer: Brand: Model: Make: Packaging: Counties Requiring Service: Item # 1: ( 948 - 74 ) Be sure to enter a price for this section or else, you will be insusceptible for award. Enter a price for: Medical Case Management Services as per Scope of Work NIGP Code: 948-74 Professional Medical Services (Including Physicians, Pharmacists, and All Specialties) QtyUnit CostUOMTotal Discount Amt.Tax RateTax AmountTotal Cost 1.0 EA - Each Manufacturer: Brand: Model: Make: Packaging: Counties Requiring Service: QtyUnit CostUOMTotal Discount Amt.Tax RateTax AmountTotal Cost 1.0 EA - Each Manufacturer: Brand: Model: Make: Packaging: Counties Requiring Service: Manufacturer: Brand: Model: Make: Packaging: Counties Requiring Service: