Specifications include, but are not limited to: The purpose of the proposed contract is to contract with a vendor that provides access to management tools to reduce plan expenses, access to robust discount provider networks, and administrative systems for the processing and payment of claims expenses for injured workers. The following services are required: to provide electronic medical bill data entry, audit, review and payment authorization; and to create and process electronic medical payment transactions in the SSIF’s workers ’ compensation claims data management system to provide check writing services and/or provider reimbursement services to provide 24/7 nurse triage to help identify the appropriate level of care for injured employee to provide telephonic and field nurse case management services to provide utilization review services to provide cost containment through a managed care network for general and specialty services (e.g., physical therapy, diagnostics) to provide cost containment through and savings for lease/purchase of Durable Medical Equipment and supplies through a nationwide network to provide cost containment, medication therapy management and retrospective claim review on pharmacy services and work with providers on strategies to reduce opioid usage in patients as an optional program, the SSIF would like an evaluation of the savings opportunity of having the Pharmacy Benefit Management Program in this contract. to provide Medicare Set-Asides , Medical Management Support and Planning, and Life Care Planning services to provide complete administrative and support services for transportation assistance when appropriate to provide complete administrative and support services for translation services when appropriate