Business solutions provider CNSI has been awarded a contract by the U.S. Department of Labor’s (DOL)’s Office of Workers’ Compensation Programs (OWCP).

The $166 million contract for delivering a Workers Compensation Medical Bill Process (WCMBP) system will include the processes associated with OWCP and its constituent programs for the receipt of the medical bills and attachments, review of medical bills and attachments against program-specific authorizations, handling of inquiries related to medical services from claimants and providers, and fraud and abuse detection, while adjudicating medical bills utilizing business rules established by each OWCP program.

The contract’s scope of work includes the creation and operations of a centralized workers’ compensation medical bill processing solution for four OWCP programs: the Division of Federal Employees’ Compensation (DFEC), the Division of Coal Mine Workers’ Compensation (DCMWC), the Division of Energy Employees Occupational Illness Compensation (DEEOIC), and Division of Longshore and Harbor Workers’ Compensation (DLHWC).

The project will be CNSI’s second engagement with the DOL, having previously provided software development support for the Department’s Mine Safety and Health Administration.

[Image courtesy: Department of Labor]