INNOVATIVE CLAIMS SOLUTIONS, INC. (#2027073)

Page 7 of 11 EXHIBIT A Scope of Consultant’s Services A. Claims Administration ICS has conducted a thorough review of the Claims Administration criteria and is fully equipped to continue delivering services that meet or exceed all established standards and expectations. A more detailed description of the ICS Claims Administration policy and procedural manual can be provided upon request but was omitted due to space restrictions. Please see Appendix 2 for additional insight regarding our claims administration best practices. B. Medicare Reporting Medicare Agent Services ICS has conducted a thorough review of the criteria regarding Medicare Reporting Medicare Agent Services and is fully equipped to continue delivering services that meet or exceed all established standards and expectations. According to CMS guidelines, we regularly submit a Query file containing all claims from 2010 to CMS on a quarterly basis. CMS then processes this file and returns it to ICS, identifying Medicare recipients. This information is subsequently uploaded to our claims management software. Additionally, we maintain a detailed log documenting each instance of claims reported and the identification of Medicare recipients for thorough record-keeping. Next, we access each newly identified Medicare recipient, inputting the required data to finalize the claim report for CMS. Additionally, we conduct reviews of other claims to assess whether any updates or changes, such as TPOC (Total Payment Obligation to Claimant) or legal representation, need to be reported. Quarterly, we transmit both the new and updated claim files containing all pertinent information to CMS. Medicare Recipient claims are flagged in the claims management system so the examiners will make sure their settlements incorporate the protection of Medicare’s interests. C. Medical Management ICS has conducted a thorough review of the Medical Management criteria and is fully equipped to continue delivering services that meet or exceed all established standards and expectations. Innovative Claim Solutions oversees a medical management program that encompasses Nurse Triage, Bill Review, Utilization Review, PBM, MPN and Preferred Provider Organization access, and other Ancillary Care Management services. ICS examiners utilize Nurse Triage services to allow for immediate assessment of injuries as soon as they occur. This early intervention ensures that appropriate medical care is promptly initiated, potentially preventing minor injuries from escalating into more severe conditions and causing a workers’ compensation claim. Nurses can efficiently triage injuries over the phone or videoconference, determining the appropriate level of care needed for each case. This helps Docusign Envelope ID: 3D604DF4-2C2C-861D-8285-1B6425D792A9