HomeMy WebLinkAboutAlternative Service Concepts, LLC-6/24/2013ASC
Alternative Service Concepts, LLC
City of Waterloo
A Proposal for Workers' Compensation
Claims Administration Services
Presented by:
Mark Watkins
Alternative Service Concepts, LLC
2501 McGavock Pike
Suite 802
Nashville, TN 37214
615-360-5683
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ASC
Alternative Service Concepts, LLC
Alternative Service Concepts, LLC
City of Waterloo, Iowa
July 1, 2013 to June 30, 2014
One -Year Claims Handling
4Service
Number Of
Claimants
Per -Claimant
Fee
Total Fee
Workers' Compensation Claims
Indemnity
14
$590
$ 8,260
Medical Only
48
$150
$7,200
Run In Claims (D/L prior to 7/1/06)
TBD
$400
Incident Reports'
TBD
$40 Per Report
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Total Minimum Claims Fee
$15,460
On -Line Access (One User)
No Charge
Additional Users
$60/User/Month
MMSEA-Annual Transmission Fees
(includes query & submissions)
$ 2,100
Systems Fee
$ 2,500
Account Administration Fee
$ 3,750
Total Fees
$23,810
Claims will be handled for one year from the date the loss is reported to ASC with no
additional per -claim fees. Any claim remaining open after 12 months will be subject to an
annual maintenance fee of $365 plus systems fees and administration fees. Fees are
based on claims volume provided. At the conclusion of the contract, any claims that
exceed the claim count stated above will be invoiced at the quoted per -claim rate.
The account administration fee includes:
• Account Setup
• New Claim Setup
• Client Meetings
• Excess Reporting
' Recorded in claims system only. Must be specified as "Incident" at time of reporting.
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Alternative Service Concepts, LLC
• State Reporting
• Storage fees
Medical Cost Management
Medical Bill Review/PPO Usage 30% of Savings
Subrogation Pursuit and Recovery
15% of Recovery
Banking
Allocated Expenses
Allocated expenses will be charged to the claim file and include fees for:
• Legal services
• State -mandated EDI
• Court reporters
• Professional photographs
• Official documents and transcripts
• Experts' / rehabilitation services
• Architects, contractors, engineers, chemists
• Police, fire, coroner, weather reports
• Accident reconstruction
• Subrogation collection cost payable to third party
• Extraordinary travel at client's request
• Medical records
• IMEs, MRIs, etc.
• Managed care
• Medical bill review
• Index Bureau reporting
• Outside investigation
• Surveillance
• Any other expense requiring client approval
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Alternative Service Concepts, LLC
Claims Handling at Contract Conclusion
At the conclusion of the contract, the following options are available for continued
handling of open claims:
• Annual per -claimant fee at ASC's prevailing rates
• Claims returned to client
Workers' Compensation Claims Definitions
Medical Only Claims - Work-related claims that require medical treatment only and do not
exceed $2,500 in total payments.
Indemnity Claims - Work-related claims that involve disability benefits or medical only
claims that require payment of medical and other expenses in excess of $2,500.
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