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17. Conduct adequate, timely and complete 24 hour contact in the investigation of lost -time claims <br />and 48 hour contact in the investigation of medical -only claims. (24/48 hours from first notice to <br />WC management organization, not 24/48 hours from when adjuster received). <br />18. Pay vendor bills (attorneys, surveillance, etc.) within 30 days. <br />19. Develop and follow appropriate written policies when (i) the injured employee requests a second <br />opinion, (ii) medical evaluation is questioned, or (iii) grievance report is filed. <br />20. Assist, as appropriate, in the scheduling of independent medical examinations. <br />21. Monitor the purchase of items deemed to be medically necessary for the accommodation of an <br />injured employee and obtain approval from the Risk Manager for those items with a cost greater <br />than $10,000. <br />22. Follow all provisions of Florida Statute in regard to medical benefit entitlement and <br />administration. <br />FIRST NOTICE OF INJURY SERVICES <br />TPA will provide the following administrative services: <br />1. Provide internet based claim reporting and intake capabilities. Send First Notice of Injury to the <br />State of Florida in a timely manner TPA must accept responsibility for penalties for late notice to <br />the State of Florida when caused by other than the delay of IRC. <br />2. Receive and examine on behalf of IRC all reports of employee injury claims. Refer injured <br />workers to appropriate medical services, and as appropriate and based upon pre -established <br />criteria agreed upon by IRC. Provide immediate referral to network specialty medical providers <br />for injuries. <br />3. Coordinate data between first report of injury and claims administration system. <br />4. The on-line claim security shall permit on-line input of accident reports by IRC. <br />TELEPHONIC MEDICAL MANAGEMENT <br />TPA will provide the following services: <br />1. Telephonic Nurse Case Management services will be provided by TPA staff for all lost time and <br />select medical only claims. <br />2. Pre -Certification of Hospital Admissions. <br />102 <br />