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DocuSign Envelope ID.06CEAA47-F11 F-421A-B8CE-390F42C61208 <br /> ("Credentialed Panel"),subject to such medical professionals being credentialed by CorVel <br /> as Credentialed Providers. <br /> (c) Customer shall have the right,with written notice to CorVel,to request that CorVel cease <br /> using a specific medical professional from the Credentialed Panel for Customer's <br /> claimants.Upon receipt of such notice from Customer,Supplier shall promptly cease using <br /> the specified medical professional as requested by Customer in such notice. <br /> (d) Customer may submit a request for a Peer Review or a MRR via phone, fax, or <br /> electronically via CorVel's CareMC website, if applicable. <br /> (e) CorVel shall ensure that the MRR is assigned to a provider within 2 business days of <br /> receipt of request or in accordance with applicable State law. <br /> (f) CorVel will copy required medical records for the Peer Review or MRR as provided by <br /> the Customer's file handler or legal office. CorVel will obtain additional medical records <br /> as requested. <br /> (g) CorVel shall deliver to Customer completed Peer Review and MRR reports within 7 <br /> business days of assignment to the Credentialed Provider. Prior to such delivery to <br /> Customer, CorVel shall complete its quality review of such report. <br /> (h) CorVel shall provide Customer quarterly activity reports within twenty(20)business days <br /> following the applicable quarter. <br /> SCHEDULE 8-A <br /> Medicare Set-Aside Services <br /> Terms and Conditions <br /> DESCRIPTION OF OTHER SERVICES <br /> a. Medicare Set-Asides: CorVel provides an extensive review of medical records and <br /> medical bills, producing a comprehensive report and cost projection outlining future <br /> Medicare eligible costs in anticipation of settling out future medical care on a Customer's <br /> employee or insured individual. Costs are determined through CorVel's proprietary Bill <br /> Review system as well as utilization of the online Red BookTM access for medication costs. <br /> Red BookTM is the accepted authority by CMS for pricing on all medications. <br /> b. Life Care Plans/Future Cost Projections: Life Care Plans/Future Cost Projections are a <br /> plan for optimal utilization of health care dollars that document objective view of the <br /> future health needs,services and related costs. It provides for comprehensive reports <br /> summarizing medical treatment and care and outlining life time needs for a Customer's <br /> employee or injured individual when they are catastrophically injured. Life Care <br /> Plans/Future Cost Projections are also used both for litigious settlements as well as <br /> projecting reserves setting. <br /> c. Medicare Conditional Payment Resolution: CorVel's service includes securing <br /> Medicare Conditional Payment letters and disputing the Medicare Conditional Payments <br /> unrelated to the claim. CorVel communicates directly with the Medicare contractors,the <br /> CRC (Commercial Repayment Center)or BCRC (Benefits Coordination&Recovery <br /> Center)to resolve the Medicare Conditional Payment debt. <br /> City of Everett,WA—CorVel EC Amendment 3 7-25-2022 <br />