260106 CORVEL FINAL CONTRACT 9.25.26.PDF

SERIAL# 260106-RFP
CONTRACT WORKERS’ COMPENSATION BILL REVIEW,
PHARMACY BENEFITS, AND PHYSICAL THERAPY 260106-RFP
This contract is entered into this 30th ay of September, 2026 by and between Maricopa
County (County), a political subdivision of the State of Arizona, and CorVel Healthcare
Corporation, a California corporation (Contractor) to provide effective and efficient
medical bill review services and check writing for the reviewed bills for Maricopa County’s
entire workers’ compensation program (BRCWS), and Pharmacy Benefit Manager (PBM)
to provide workers’ compensation prescription benefit management services through a
network of pharmacies.
1.0 CONTRACT TERM
This contract is for a term of two years, beginning on the 1st day of October, 2026
and ending the 30th of September, 2028.
2.0 OPTION TO RENEW
The County may, at its option and with the concurrence of the Contractor, renew
the term of this contract up to a maximum of four additional year(s), (or at the
County’s sole discretion, extend the contract on a month-to-month basis for a
maximum of six months after expiration). The Contractor shall be notified in
writing by the Office of Procurement Services of the County’s intention to renew
the contract term at least 60 calendar days prior to the expiration of the original
contract term.
3.0 CONTRACT COMPLETION
In preparation for contract completion, the Contractor shall make all reasonable
efforts for an orderly transition of its duties and responsibilities to another provider
and/or to the County. This may include, but is not limited to, preparation of a
transition plan and cooperation with the County or other providers in the transition.
The transition includes the transfer of all records and other data in the possession,
custody, or control of the Contractor that are required to be provided to the County
either by the terms of this agreement or as a matter of law. The provisions of this
clause shall survive the expiration or termination of this agreement.

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4.0 PRICE ADJUSTMENTS
Any requests for reasonable price adjustments must be submitted 60 calendar
days prior to contract expiration. Requests for adjustment in cost of labor and/or
materials must be supported by appropriate documentation. The reasonableness
of the request will be determined by comparing the request with the Consumer
Price Index or by performing a market survey. If County agrees to the adjusted
price terms, County shall issue written approval of the change and provide an
updated version of the contract. The new change shall not be in effect until the
date stipulated on the updated version of the contract.
5.0 PAYMENTS
5.1 As consideration for performance of the duties described herein, County
shall pay Contractor the sum(s) stated in Exhibit A – Vendor Information
and Pricing.
5.2 Payment shall be made upon the County’s receipt of a properly completed
invoice.
5.3 INVOICES
5.3.1 The BRCWS Contractor shall submit one legible copy of their detailed
invoice before payment(s) will be made. Incomplete invoices will not
be processed. At a minimum, the invoice must provide the following
information:
• Company name, address, and contact information
• County bill-to name and contact information
• Contract serial number
• County purchase order number
• Project name and/or number
• Invoice number and date
• Payment terms
• Date of service or delivery
• Quantity (number of days or week)
• Contract item number(s)
• Arrival and completion time
• Description of purchase (product or services)
• Pricing per unit of purchase
• Extended price
• Total amount due
5.3.2 Workers’ Compensation Pharmacy Benefit Manager Services and
Workers’ Compensation Physical Therapy Service Network invoices
shall also include, but not necessarily be limited to:

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• Individual prescription claims/individual physical therapy
claims
• County assigned claim number
• Administrative fees
• Any other costs and charges specified in the agreement
Invoices from PBM and PTSN shall be directed to the Bill Review
Services as directed by the County.
5.3.3 Problems regarding billing or invoicing shall be directed to the
department as listed on the purchase order.
5.3.4 Payment shall only be made to the Contractor by Accounts Payable
through the Maricopa County Vendor Express Payment Program.
This is an Electronic Funds Transfer (EFT) process. After Contract
Award the Contractor shall complete the Vendor Registration Form
located on the County Department of Finance Vendor Registration
Web Site (https://www.maricopa.gov/5169/Vendor-Information).
5.3.5 Payments made to the PBM and PTSN will be made through the
BRCWS contractor issuing checks on behalf of County.
5.3.6 To the extent applicable, discounts offered in the contract shall be
calculated based on the date a properly completed invoice is
received by the County As defined under County’s Pharmacy Pricing.
Contractor does not offer or provide discounts on fees paid on a
prompt payment policy.
5.3.7 EFT payments to the routing and account numbers designated by the
Contractor shall include the details on the specific invoices that the
payment covers. The Contractor is required to discuss remittance
delivery capabilities with their designated financial institution for
access to those details.
5.4 APPLICABLE TAXES
5.4.1 It is the responsibility of the Contractor to determine any and all
applicable taxes and include those taxes in their proposal. The legal
liability to remit the tax is on the entity conducting business in
Arizona. Tax is not a determining factor in contract award.
5.4.2 The County will look at the price or offer submitted and will not deduct,
add, or alter pricing based on speculation or application of any taxes,
nor will the County provide Contractor any advice or guidance
regarding taxes. If you have questions regarding your tax liability, seek
advice from a tax professional prior to submitting your bid. You may
also find information at www.azdor.gov/business. Once your bid is
submitted, the offer is valid for the time specified in this solicitation,
regardless of mistake or omission of tax liability. If the County finds
overpayment of a project due to tax consideration that was not due,

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the Contractor will be liable to the County for that amount, and by
contracting with the County agrees to remit any overpayments back
to the County for miscalculations on taxes included in a bid price.
5.4.3 Tax Indemnification: Contractor and all subcontractors shall pay all
Federal, State, and local taxes applicable to their operation and any
persons employed by the Contractor. Contractor shall, and require all
subcontractors to, hold Maricopa County harmless from any
responsibility for taxes, damages, and interest, if applicable,
contributions required under Federal and/or State and local laws and
regulations, and any other costs including: transaction privilege
taxes, unemployment compensation insurance, Social Security, and
workers’ compensation. Contractor may be required to establish, to
the satisfaction of County, that any and all fees and taxes due to
municipality or the State of Arizona for any license or transaction
privilege taxes, use taxes, or similar excise taxes are currently paid
(except for matters under legal protest).
6.0 AVAILABILITY OF FUNDS
6.1 The provisions of this contract relating to payment for services shall
become effective when funds assigned for the purpose of compensating
the Contractor as herein provided are actually available to County for
disbursement. The County shall be the sole judge and authority in
determining the availability of funds under this contract. County shall keep
the Contractor fully informed as to the availability of funds.
6.2 If any action is taken by any State agency, Federal department, or any other
agency or instrumentality to suspend, decrease, or terminate its fiscal
obligations under, or in connection with, this contract, County may amend,
suspend, decrease, or terminate its obligations under, or in connection with,
this contract. In the event of termination, County shall be liable for payment
only for services rendered prior to the effective date of the termination,
provided that such services are performed in accordance with the
provisions of this contract. County shall give written notice of the effective
date of any suspension, amendment, or termination under this section, at
least 10 days in advance.
7.0 STRATEGIC ALLIANCE for VOLUME EXPENDITURES (SAVE)
The County is a member of the SAVE cooperative purchasing group. SAVE includes
the State of Arizona, many Phoenix metropolitan area municipalities, and many K-
12 unified school districts. Under the SAVE Cooperative Purchasing Agreement,
and with the concurrence of the successful respondent under this solicitation, a
member of SAVE may access a contract resulting from a solicitation issued by the
County. If contractor does not want to grant such access to a member of SAVE,
state so in contractor’s bid. In the absence of a statement to the contrary, the
County will assume that contractor does wish to grant access to any contract that

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may result from this bid. The County assumes no responsibility for any purchases
by using entities.
8.0 INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENTS (ICPAs)
County currently holds ICPAs with numerous governmental entities. These
agreements allow those entities, with the approval of the Contractor, to purchase
their requirements under the terms and conditions of the County contract. It is the
responsibility of the non-County government entity to perform its own due
diligence on the acceptability of the contract under its applicable procurement
rules, processes, and procedures. Certain governmental agencies may not require
an ICPA and may utilize this contract if it meets their individual requirements. Other
governmental agencies may enter into a separate Statement of Work with the
Contractor to meet their own requirements. The County is not a party to any uses
of this contract by other governmental entities.
9.0 DUTIES
9.1 The Contractor shall perform all duties stated in Exhibit B – Scope of Work,
or as otherwise directed in writing by the procurement officer.
10.0 TERMS AND CONDITIONS
10.1 INDEMNIFICATION
10.1.1 To the fullest extent permitted by law, and to the extent that
claims, damages, losses, or expenses are not covered and paid
by insurance purchased by the contractor, the contractor shall
defend, indemnify, and hold harmless the County (as Owner), its
agents, representatives, officers, directors, officials, and
employees from and against all claims, damages, losses, and
expenses (including, but not limited to attorneys' fees, court
costs, expert witness fees, and the costs and attorneys' fees for
appellate proceedings) arising out of, or alleged to have
resulted from, the negligent acts, errors, omissions, or mistakes
of the contractor, a subcontractor, anyone directly or indirectly
employed by them, or anyone for whose acts they may be liable
relating to the performance of this contract.
10.1.2 Contractor's duty to defend, indemnify, and hold harmless the
County, its agents, representatives, officers, directors, officials,
and employees shall arise in connection with any claim,
damage, loss, or expense that is attributable to bodily injury,
sickness, disease, death, or injury to, impairment of, or
destruction of tangible property, including loss of use resulting
therefrom, caused by negligent acts, errors, omissions, or
mistakes in the performance of this contract, but only to the

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extent caused by the negligent acts or omissions of the
contractor, a subcontractor, anyone directly or indirectly
employed by them, or anyone for whose acts they may be liable,
regardless of whether or not such claim, damage, loss, or
expense is caused in part by a party indemnified hereunder.
10.1.3 The amount and type of insurance coverage requirements set
forth herein will in no way be construed as limiting the scope of
the indemnity in this section.
10.1.4 The scope of this indemnification does not extend to the sole
negligence of County.
10.2 INSURANCE
10.2.1 Contractor, at Contractor’s own expense, shall purchase and
maintain, at a minimum, the herein stipulated insurance from a
company or companies duly licensed by the State of Arizona
and possessing an AM Best, Inc. category rating of B++. In lieu
of State of Arizona licensing, the stipulated insurance may be
purchased from a company or companies, which are authorized
to do business in the State of Arizona, provided that said
insurance companies meet the approval of County. The form of
any insurance policies and forms must be acceptable to
County.
10.2.2 All insurance required herein shall be maintained in full force
and effect until all work or service required to be performed
under the terms of the contract is satisfactorily completed and
formally accepted. Failure to do so may, at the sole discretion
of County, constitute a material breach of this contract.
10.2.3 In the event that the insurance required is written on a claims-
made basis, Contractor warrants that any retroactive date
under the policy shall precede the effective date of this contract
and either continuous coverage will be maintained, or an
extended discovery period will be exercised for a period of two
years beginning at the time work under this contract is
completed.
10.2.4 Contractor’s insurance shall be primary insurance as respects
County, and any insurance or self-insurance maintained by
County shall not contribute to it.
10.2.5 Any failure to comply with the claim reporting provisions of the
insurance policies or any breach of an insurance policy

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warranty shall not affect the County’s right to coverage
afforded under the insurance policies.
10.2.6 The insurance policies may provide coverage that contains
deductibles or self-insured retentions. Such deductible and/or
self-insured retentions shall not be applicable with respect to
the coverage provided to County under such policies.
Contractor shall be solely responsible for the deductible and/or
self-insured retention and County, at its option, may require
Contractor to secure payment of such deductibles or self-
insured retentions by a surety bond or an irrevocable and
unconditional letter of credit.
10.2.7 The insurance policies required by this contract, except
Workers’ Compensation, Crime, Cyber Network Security and,
Privacy and Errors and Omissions, shall name County, its
agents, representatives, officers, directors, officials, and
employees as additional insureds.
10.2.8 The policies required hereunder, except Workers’
Compensation, Crime, Cyber Network Security and Privacy and
Errors and Omissions, shall contain a waiver of transfer of rights
of recovery (subrogation) against County, its agents,
representatives, officers, directors, officials, and employees for
any claims arising out of Contractor’s work or service.
10.2.9 If available, the insurance policies required by this contract may
be combined with Commercial Umbrella Insurance policies to
meet the minimum limit requirements. If a Commercial
Umbrella insurance policy is utilized to meet insurance
requirements, the Certificate of Insurance shall indicate which
lines the Commercial Umbrella Insurance covers.
10.2.9.1 Commercial General Liability
Commercial General Liability (CGL) insurance and,
if necessary, Commercial Umbrella insurance with
a limit of not less than $2,000,000 for each
occurrence, $4,000,000 Products/Completed
Operations Aggregate, and $4,000,000 General
Aggregate Limit. The policy shall include coverage
for premises liability, bodily injury, broad form
property damage, personal injury, products and
completed operations and blanket contractual
coverage, and shall not contain any provisions
which would serve to limit third party action over
claims. There shall be no endorsement or
modifications of the CGL limiting the scope of

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coverage for liability arising from explosion,
collapse, or underground property damage.
10.2.9.2 Workers’ Compensation
10.2.9.2.1 Workers’ compensation insurance to
cover obligations imposed by Federal
and State statutes having jurisdiction
of Contractor’s employees engaged
in the performance of the work or
services under this contract; and
Employer’s Liability insurance of not
less than $1,000,000 for each
accident, $1,000,000 disease for each
employee, and $1,000,000 disease
policy limit.
10.2.9.2.2 Contractor, its subcontractors, and
sub-subcontractors waive all rights
against this contract and its agents,
officers, directors, and employees for
recovery of damages to the extent
these damages are covered by the
workers’ compensation and
Employer’s Liability or Commercial
Umbrella Liability insurance obtained
by Contractor, its subcontractors, and
its sub-subcontractors pursuant to
this contract.
10.2.9.3 Errors and Omissions/Professional Liability
Insurance
Errors and Omissions (Professional Liability)
insurance which will insure and provide coverage
for errors or omissions or professional liability of
the contractor, with limits of no less than
$2,000,000 for each claim.
10.2.9.4 Crime
Contractor shall maintain Commercial Crime
Liability Insurance with a limit of not less than
$1,000,000 for each occurrence. The policy shall
include, but not be limited to, coverage for
employee dishonesty, fraud, theft, or
embezzlement.

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10.2.9.5 Cyber, Network Security, and Privacy Liability
Cyber, Network Security and Privacy Liability
Insurance with a limit of not less than $5,000,000
per occurrence. The policy shall include, but not be
limited to; coverage for all directors, officers,
agents and employees of the Contractor, losses
with respect to network risks (such as data
breaches, unauthorized access or use, and ID theft
of data), invasion of privacy (regardless of the type
of media involved in the loss of private information),
crisis management, identity theft response costs,
breach notification costs, credit remediation, and
credit monitoring, defense, and claims expenses,
regulatory defense costs plus fines and penalties,
cyber extortion, electronic data restoration
expenses (data asset protection), network
business interruption, computer fraud coverage,
funds transfer loss, third-party fidelity, theft, no
requirement for arrest and conviction, and loss
outside the premises of the named insured.
10.2.10 Certificates of Insurance
10.2.10.1 Prior to contract award, Contractor shall furnish the
County with valid and complete Certificates of
Insurance, or formal endorsements as required by
the contract in the form provided by the County,
issued by Contractor’s insurer(s), as evidence that
policies providing the required coverage, conditions
and limits required by this contract are in full force
and effect. Such certificates shall identify this
contract number and title.
10.2.10.2 In the event any insurance policy(ies) required by
this contract is (are) written on a claims-made
basis, coverage shall extend for two years past
completion and acceptance of Contractor’s work or
services and as evidenced by annual certificates of
insurance.
10.2.10.3 If a policy does expire during the life of the Contract,
a renewal certificate must be sent to County 15
calendar days prior to the expiration date.

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10.2.10.4 Certificates of Insurance shall identify Maricopa
County as the certificate holder as follows:
Maricopa County
c/o Risk Management
301 W Jefferson St, Suite 810
Phoenix, AZ 85003
10.2.11 Cancellation and Expiration Notice
Applicable to all insurance policies required within the insurance
requirements of this contract, Contractor’s insurance shall not be
permitted to expire, be suspended, be canceled, or be materially
changed for any reason without 30 days prior written notice to
Maricopa County. Contractor must provide to Maricopa County,
within two business days of receipt, if they receive notice of a
policy that has been or will be suspended, canceled, materially
changed for any reason, has expired, or will be expiring. Such
notice shall be sent directly to Maricopa County Office of
Procurement Services and shall be mailed, or hand delivered to
301 W. Jefferson, Suite 700, Phoenix, AZ 85003, or emailed to the
procurement officer noted in the solicitation.
10.3 FORCE MAJEURE
10.3.1 Neither party shall be liable for failure of performance, nor incur
any liability to the other party on account of any loss or damage
resulting from any delay or failure to perform all or any part of
this contract, if such delay or failure is caused by events,
occurrences, or causes beyond the reasonable control and
without negligence of the parties. Such events, occurrences, or
causes include, but are not limited to, acts of God/nature
(including fire, flood, earthquake, storm, hurricane, or other
natural disaster), war, invasion, act of foreign enemies,
hostilities (whether war is declared or not), civil war, riots,
rebellion, revolution, insurrection, military or usurped power or
confiscation, terrorist activities, nationalization, government
sanction, lockout, blockage, embargo, labor dispute, strike, and
interruption or failure of electricity or telecommunication
service, and pandemic.
10.3.2 Each party, as applicable, shall give the other party notice of its
inability to perform and particulars in reasonable detail of the
cause of the inability. Each party must use best efforts to
remedy the situation and remove, as soon as practicable, the
cause of its inability to perform or comply.

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10.3.3 The party asserting Force Majeure as a cause for non-
performance shall have the burden of proving that reasonable
steps were taken to minimize delay or damages caused by
foreseeable events, that all non-excused obligations were
substantially fulfilled, and that the other party was timely
notified of the likelihood or actual occurrence which would
justify such an assertion, so that other prudent precautions
could be contemplated.
10.4 ORDERING AUTHORITY
Any request for purchase shall be accompanied by a valid purchase order
issued by a County department or directed by a Certified Agency
Procurement Aid (CAPA) with a purchase card for payment.
10.5 PROCUREMENT CARD ORDERING CAPABILITY
County may opt to use a procurement card (Visa or Master Card) to make
payment for orders under this contract.
10.6 INTERNET ORDERING CAPABILITY
It is the intent of Maricopa County to use the Internet to communicate and
to place orders under this contract.
10.7 NO MINIMUM OR MAXIMUM PURCHASE OBLIGATION
This contract does not guarantee any minimum or maximum purchases
will be made. Orders will only be placed under this contract when the
County identifies a need and proper authorization and documentation
have been approved.
10.8 PURCHASE ORDERS
10.8.1 County reserves the right to cancel purchase orders within a
reasonable period of time after issuance. Should a purchase
order be canceled, the County agrees to reimburse the
Contractor for actual and documentable costs incurred by the
Contractor in response to the purchase order. The County will
not reimburse the Contractor for any costs incurred after
receipt of County notice of cancellation, or for lost profits, or for
shipment of product prior to issuance of purchase order.
10.8.2 Contractor agrees to accept verbal notification of cancellation
of purchase orders from the County procurement officer with
written notification to follow. Contractor specifically
acknowledges to be bound by this cancellation policy.

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10.9 BACKGROUND CHECK
Respondents may be required to provide verification of a Pass/Fail Report
that Respondent has performed pre-employment background checks
based on applicable County, state and federal requirements. This applies
to, but is not limited to, the company, subcontractors, and employees, and
the failure to pass these checks shall deem the respondent non-
responsible.
10.10 SUSPENSION OF WORK
The procurement officer may order the Contractor, in writing, to suspend,
delay, or interrupt all or any part of the work of this contract for the period
of time that the procurement officer determines appropriate for the
convenience of the County. No adjustment shall be made under this
clause for any suspension, delay, or interruption to the extent that
performance would have been so suspended, delayed, or interrupted by
any other cause, including the fault or negligence of the Contractor. No
request for adjustment under this clause shall be granted unless the
claim, in an amount stated, is asserted in writing as soon as practicable
after the termination of the suspension, delay, or interruption, but not later
than the date of final payment under the contract.
10.11 STOP WORK ORDER
10.11.1 The procurement officer may, at any time, by written order to
the Contractor, require the Contractor to stop all, or any part, of
the work called for by this contract for a period of 90 calendar
days after the order is delivered to the Contractor, and for any
further period to which the parties may agree. The order shall
be specifically identified as a stop work order issued under this
clause. Upon receipt of the order, the Contractor shall
immediately comply with its terms and take all reasonable
steps to minimize the incurrence of costs allocable to the work
covered by the order during the period of work stoppage. Within
a period of 90 calendar days after a stop work order is delivered
to the Contractor, or within any extension of that period to which
the parties shall have agreed, the procurement officer shall
either:
10.11.1.1 cancel the stop work order; or
10.11.1.2 terminate the work covered by the order as
provided in the Termination for Default or the
Termination for Convenience clause of this
contract.

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10.11.1.3 The procurement officer may make an equitable
adjustment in the delivery schedule and/or contract
price, and the contract shall be modified, in writing,
accordingly, if the Contractor demonstrates that
the stop work order resulted in an increase in costs
to the Contractor
10.12 TERMINATION FOR CONVENIENCE
Maricopa County may terminate the resultant contract for convenience by
providing 60 calendar days advance notice to the Contractor.
10.13 TERMINATION FOR DEFAULT
10.13.1 The County may, by written Notice of Default to the Contractor,
terminate this contract in whole or in part if the Contractor fails
to:
10.13.1.1 deliver the supplies or to perform the services
within the time specified in this contract or any
extension;
10.13.1.2 make progress, so as to endanger performance of
this contract; or
10.13.1.3 perform any of the other provisions of this contract.
10.13.2 The County’s right to terminate this contract under these
subparagraphs may be exercised if the Contractor does not
cure such failure within 10 business days (or more if authorized
in writing by the County) after receipt of a Notice to Cure from
the procurement officer specifying the failure.
10.14 PERFORMANCE
It shall be the Contractor’s responsibility to meet the proposed
performance requirements. Maricopa County reserves the right to obtain
services on the open market in the event the Contractor fails to perform,
and any price differential will be charged against the Contractor.
10.15 ACCEPTANCE
Upon completion of services, service delivery shall be deemed accepted
and the warranty period shall begin when a) material(s)/equipment is
installed (as necessary) and fully operational; and/or b) the department
has deemed all service/work completed, including but not limited to, any

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inspection, repair, installation, design, development, deployment,
operation, and initial training, (as applicable). Additionally, all
documentation shall be completed prior to final acceptance.
10.16 CONTRACTOR EMPLOYEE MANAGEMENT
10.16.1 Contractor shall endeavor to maintain the personnel proposed
in their proposal throughout the performance of this contract.
10.16.2 If Contractor personnel’s employment status changes,
Contractor shall provide County with a list of proposed
replacements with equivalent or greater experience.
10.16.3 Under no circumstances shall the implementation schedule to
be impacted by a personnel change on the part of the
Contractor.
10.16.4 Contractor shall not reassign any key personnel identified in
their proposal without the express consent of the County.
10.16.5 County reserves the right to immediately remove from its
premises any Contractor personnel it determines to be a risk to
County operations.
10.16.6 County reserves the right to request the replacement of any
Contractor personnel at any time, for any reason.
10.17 TRAINING
Contractor shall provide training services to completely train up to 6
County personnel in the use of any databases/platforms. All training shall
take place on-site in Maricopa County, unless otherwise negotiated with
County.
10.18 WARRANTY OF SERVICES
10.18.1 The Contractor warrants that all services provided hereunder
will conform to the requirements of the contract, including all
descriptions, specifications, and attachments made a part of
this contract. County’s acceptance of services or goods
provided by the Contractor shall not relieve the Contractor from
its obligations under this warranty.
10.18.2 In addition to its other remedies, County may, at the
Contractor's expense, require prompt correction of any services
failing to meet the Contractor's warranty herein. Services
corrected by the Contractor shall be subject to all the provisions

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of this contract in the manner and to the same extent as
services originally furnished hereunder.
10.19 INSPECTION OF SERVICES
10.19.1 The Contractor shall provide and maintain an inspection
system acceptable to County covering the services under this
contract. Complete records of all inspection work performed by
the Contractor shall be maintained and made available to
County during contract performance and for as long afterwards
as the contract requires.
10.19.2 County has the right to inspect and test all services called for
by the contract, to the extent practicable at all times and places
during the term of the contract. County shall perform
inspections and tests in a manner that will not unduly delay the
work.
10.19.3 If any of the services do not conform to contract requirements,
County may require the Contractor to perform the services
again in conformity with contract requirements, at no cost to
the County. When the defects in services cannot be corrected
by re-performance, County may:
10.19.3.1 require the Contractor to take necessary action to
ensure that future performance conforms to
contract requirements; and
10.19.3.2 reduce the contract price to reflect the reduced
value of the services performed.
10.19.4 If the Contractor fails to promptly perform the services again or
to take the necessary action to ensure future performance in
conformity with contract requirements, County may:
10.19.4.1 by contract or otherwise, perform the services and
charge to the Contractor, through direct billing or
through payment reduction, any cost incurred by
County that is directly related to the performance of
such service; or
10.19.4.2 terminate the contract for default.
10.20 USAGE REPORT
The Contractor shall furnish the County a usage report, upon request,
delineating the acquisition activity governed by the contract. The format

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of the report shall be approved by the County and shall disclose the
quantity and dollar value of each contract item by individual unit of
measure.
10.21 STATUTORY RIGHT OF CANCELLATION FOR CONFLICT OF INTEREST
Notice is given that, pursuant to A.R.S. § 38-511, the County may cancel
any contract without penalty or further obligation within three years after
execution of the contract, if any person significantly involved in initiating,
negotiating, securing, drafting, or creating the contract on behalf of the
County is at any time, while the contract or any extension of the contract
is in effect, an employee or agent of any other party to the contract in any
capacity or consultant to any other party of the contract with respect to
the subject matter of the contract. Additionally, pursuant to A.R.S. § 38-
511, the County may recoup any fee or commission paid or due to any
person significantly involved in initiating, negotiating, securing, drafting,
or creating the contract on behalf of the County from any other party to
the contract arising as the result of the contract.
10.22 OFFSET FOR DAMAGES
In addition to all other remedies at Law or Equity, the County may offset
from any money due to the Contractor any amounts Contractor owes to
the County for damages resulting from breach or deficiencies in
performance of the contract.
10.23 SUBCONTRACTING
10.23.1 The Contractor may not assign to another Contractor or
subcontract to another party for performance of the terms and
conditions hereof without the written consent of the County. All
correspondence authorizing subcontracting must reference the
bid serial number and identify the job or project.
10.23.2 The subcontractor’s rate for the job shall not exceed that of the
prime Contractor’s rate, as bid in the pricing section, unless the
prime Contractor is willing to absorb any higher rates. The
subcontractor’s invoice shall be invoiced directly to the prime
Contractor, who in turn shall pass-through the costs to the
County, without mark-up. A copy of the subcontractor’s invoice
must accompany the prime Contractor’s invoice.
10.24 AMENDMENTS
All amendments to this contract shall be in writing and approved/signed
by both parties. Maricopa County Office of Procurement Services shall be
responsible for approving all amendments for Maricopa County.

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10.25 ADDITIONS/DELETIONS OF REQUIREMENTS
The County reserves the right to add and/or delete materials and services
to a contract. If a service requirement is deleted, payment to the
Contractor will be reduced proportionately, to the amount of service
reduced in accordance with the bid price. If additional materials or
services are required from a contract, prices for such additions will be
negotiated between the Contractor and the County.
10.26 RIGHTS IN DATA
10.26.1 The County shall have the use of data and reports resulting
from a contract without additional cost or other restriction
except as may be established by law or applicable regulation.
Each party shall supply to the other party, upon request, any
available information that is relevant to a contract and to the
performance thereunder.
10.26.2 Data, records, reports, and all other information generated for
the County by a third party as the result of a contract are the
property of the County and shall be provided in a format
designated by the County or shall be and remain accessible to
the County into perpetuity.
10.27 ACCESS TO AND RETENTION OF RECORDS FOR THE PURPOSE OF AUDIT
AND/OR OTHER REVIEW
10.27.1 In accordance with Section MC1-372 of the Maricopa County
Procurement Code, the Contractor agrees to retain (physical or
digital copies of) all books, records, accounts, statements,
reports, files, and other records and back-up documentation
relevant to this contract for six years after final payment or until
after the resolution of any audit questions, which could be more
than six years, whichever is longest. The County, Federal or
State auditors and any other persons duly authorized by the
department shall have full access to and the right to examine,
copy, and make use of, any and all said materials.
10.27.2 If the Contractor’s books, records, accounts, statements,
reports, files, and other records and back-up documentation
relevant to this contract are not sufficient to support and
document that requested services were provided, the
Contractor shall reimburse Maricopa County for the services
not so adequately supported and documented.

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10.28 AUDIT DISALLOWANCES
If at any time it is determined by the County that a cost for which payment
has been made is a disallowed cost, the County shall notify the Contractor
in writing of the disallowance. The course of action to address the
disallowance shall be at sole discretion of the County, and may include
either an adjustment to future invoices, request for credit, request for a
check, or a deduction from current invoices submitted by the Contractor
equal to the amount of the disallowance, or to require reimbursement
forthwith of the disallowed amount by the Contractor by issuing a check
payable to Maricopa County.
10.29 STRICT COMPLIANCE
Acceptance by County of a performance that is not in strict compliance
with the terms of the contract shall not be deemed to be a waiver of strict
compliance with respect to all other terms of the contract.
10.30 VALIDITY
The invalidity, in whole or in part, of any provision of this contract shall not
void or affect the validity of any other provision of the contract.
10.31 SEVERABILITY
The removal, in whole or in part, of any provision of this contract shall not
void or affect the validity of any other provision of this contract.
10.32 RELATIONSHIPS
10.32.1 In the performance of the services described herein, the
Contractor shall act solely as an independent Contractor, and
nothing herein or implied herein shall at any time be construed
as to create the relationship of employer and employee, co-
employee, partnership, principal and agent, or joint venture
between the County and the Contractor.
10.32.2 The County reserves the right of final approval on proposed
staff. Also, upon request by the County, the Contractor will be
required to remove any employees working on County projects
and substitute personnel based on the discretion of the County
within two business days, unless a different time period was
previously approved by the County.

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10.33 NON-DISCRIMINATION
Contractor agrees to comply with all provisions and requirements of
Arizona Executive Order 2009-09, including flow down of all provisions
and requirements to any subcontractors. Executive Order 2009-09
supersedes Executive Order 99-4 and amends Executive Order 75-5 and
is hereby incorporated into this contract as if set forth in full herein. During
the performance of this contract, contractor shall not discriminate against
any employee, client, or any other individual in any way because of that
person’s age, race, creed, color, religion, sex, disability, or national origin.
(Arizona Executive Order 2009-09 can be viewed at
https://apps.azsos.gov/public_services/register/2009/46/governor.pdf)
10.34 WRITTEN CERTIFICATION PURSUANT to A.R.S. § 35-393.01
If vendor engages in for-profit activity and has 10 or more employees, and
if this agreement has a value of $100,000 or more, vendor certifies it is
not currently engaged in, and agrees for the duration of this agreement to
not engage in, a boycott of goods or services from Israel. This certification
does not apply to a boycott prohibited by 50 U.S.C. § 4842 or a regulation
issued pursuant to 50 U.S.C. § 4842.
10.35 CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
10.35.1 The undersigned (authorized official signing on behalf of the
Contractor) certifies to the best of his or her knowledge and
belief that the Contractor, its current officers, and directors:
10.35.1.1 are not presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily
excluded from being awarded any contract or grant
by any United States department or agency or any
state, or local jurisdiction;
10.35.1.2 have not within a three-year period preceding this
contract:
10.35.1.2.1 been convicted of fraud or any
criminal offense in connection with
obtaining, attempting to obtain, or as
the result of performing a
government entity (Federal, State, or
local) transaction or contract; or
10.35.1.2.2 been convicted of violation of any
Federal or State antitrust statutes or
conviction for embezzlement, theft,

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forgery, bribery, falsification or
destruction of records, making false
statements, or receiving stolen
property regarding a government
entity transaction or contract;
10.35.1.3 are not presently indicted or criminally charged by
a government entity (Federal, State, or local) with
commission of any criminal offenses in connection
with obtaining, attempting to obtain, or as the result
of performing a government entity public (Federal,
State, or local) transaction or contract;
10.35.1.4 are not presently facing any civil charges from any
governmental entity regarding obtaining,
attempting to obtain, or from performing any
governmental entity contract or other transaction;
and
10.35.1.5 have not within a three-year period preceding this
contract had any public transaction (Federal, State,
or local) terminated for cause or default.
10.35.2 If any of the above circumstances described in the paragraph
are applicable to the entity submitting a bid for this requirement,
include with your bid an explanation of the matter including any
final resolution.
10.35.3 The Contractor shall include, without modification, this clause
in all lower tier covered transactions (i.e. transactions with
subcontractors or sub-subcontractors) and in all solicitations
for lower tier covered transactions related to this contract. If
this clause is applicable to a subcontractor or sub-
subcontractor, the Contractor shall include the information
required by this clause with their bid.
10.36 VERIFICATION REGARDING COMPLIANCE WITH A.R.S. § 41-4401 AND
FEDERAL IMMIGRATION LAWS AND REGULATIONS
10.36.1 By entering into the contract, the Contractor warrants
compliance with the Immigration and Nationality Act (INA using
E-Verify) and all other Federal immigration laws and regulations
related to the immigration status of its employees and A.R.S. §
23-214(A). The Contractor shall obtain statements from its
subcontractors certifying compliance and shall furnish the
statements to the procurement officer upon request. These
warranties shall remain in effect through the term of the

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contract. The Contractor and its subcontractors shall also
maintain Employment Eligibility Verification forms (I-9) as
required by the Immigration Reform and Control Act of 1986, as
amended from time to time, for all employees performing work
under the contract and verify employee compliance using the E-
Verify system and shall keep a record of the verification for the
duration of the employee’s employment or at least three years,
whichever is longer. I-9 forms are available for download at
www.uscis.gov.
10.36.2 The County retains the legal right to inspect documents of
Contractor and subcontractor employees performing work
under this contract to verify compliance with paragraph 10.36.1
of this section. Contractor and subcontractor shall be given
reasonable notice of the County’s intent to inspect and shall
make the documents available at the time and date specified.
Should the County suspect or find that the Contractor or any of
its subcontractors are not in compliance, the County will
consider this a material breach of the contract and may pursue
any and all remedies allowed by law, including, but not limited to:
suspension of work, termination of the contract for default, and
suspension and/or debarment of the Contractor. All costs
necessary to verify compliance are the responsibility of the
Contractor.
10.37 Contractor EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT
TO INFORM EMPLOYEES OF Whistleblower RIGHTS
10.37.1 The parties agree that this contract and employees working on
this contract will be subject to the Contractor employee
whistleblower protections established by Title 41 U.S.C. § 4712
and Section 3.908 of the Federal Acquisition Regulation.
10.37.2 Contractor shall inform its employees in writing, in the
predominant language of the workforce, of employee
whistleblower rights and protections under 41 U.S.C. § 4712, as
described in Section 3.908 of the Federal Acquisition
Regulation. Documentation of such employee notification must
be kept on file by Contractor and copies provided to County
upon request.
10.37.3 Contractor shall insert the substance of this clause, including
this paragraph, in all subcontracts over the simplified
acquisition threshold ($250,000 as of fiscal year 2018).

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10.38 CONTRACTOR LICENSE REQUIREMENT
10.38.1 The Contractor shall procure all permits, insurance, and
licenses, and pay the charges and fees necessary and
incidental to the lawful conduct of his/her business, and as
necessary complete any requirements, by any and all
governmental or non-governmental entities as mandated to
maintain compliance with and remain in good standing. The
Contractor shall keep fully informed of existing and future trade
or industry requirements, and Federal, State, and local laws,
ordinances, and regulations which in any manner affect the
fulfillment of a contract and shall comply with the same.
Contractor shall immediately notify both the Office of
Procurement Services and the department of any and all
changes concerning permits, insurance, or licenses.
10.39 INFLUENCE
10.39.1 As prescribed in MC1-1203 of the Maricopa County
Procurement Code, any effort to influence an employee or
agent to breach the Maricopa County Ethical Code of Conduct
or any ethical conduct, may be grounds for disbarment or
suspension under MC1-902.
10.39.2 An attempt to influence includes, but is not limited to:
10.39.2.1 A person offering or providing a gratuity, gift, tip,
present, donation, money, entertainment or
educational passes or tickets, or any type of
valuable contribution or subsidy that is offered or
given with the intent to influence a decision, obtain
a contract, garner favorable treatment, or gain
favorable consideration of any kind.
10.39.3 If a person attempts to influence any employee or agent of
Maricopa County, the chief procurement officer, or his
designee, reserves the right to seek any remedy provided by the
Maricopa County Procurement Code, any remedy in equity or in
the law, or any remedy provided by this contract.
10.40 CONFIDENTIAL INFORMATION
10.40.1 Any information obtained in the course of performing this
contract may include information that is proprietary or
confidential to the County. This provision establishes the
Contractor’s obligation regarding such information.

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10.40.2 The Contractor shall establish and maintain procedures and
controls that are adequate to assure that no information
contained in its records and/or obtained from the County or
from others in carrying out its functions (services) under the
contract shall be used by or disclosed by it, its agents, officers,
or employees, except as required to efficiently perform duties
under the contract. The Contractor’s procedures and controls,
at a minimum, must be the same procedures and controls it
uses to protect its own proprietary or confidential information.
If, at any time during the duration of the contract, the County
determines that the procedures and controls in place are not
adequate, the Contractor shall institute any new and/or
additional measures requested by the County within 15
business days of the written request to do so.
10.40.3 Any requests to the Contractor for County proprietary or
confidential information shall be referred to the County for
review and approval, prior to any dissemination.
10.41 PUBLIC RECORDS
Under Arizona law, all offers submitted and opened are public records and
must be retained by the County at the Maricopa County Office of
Procurement Services. Offers shall be open to public inspection and
copying after contract award and execution, except for such offers or
sections thereof determined to contain proprietary or confidential
information by the Office of Procurement Services. If an offeror believes
that information in its offer or any resulting contract should not be
released in response to a public record request, under Arizona law, the
offeror shall indicate the specific information deemed confidential or
proprietary and submit a statement with its offer detailing the reasons
that the information should not be disclosed. Such reasons shall include
the specific harm or prejudice which may arise from disclosure. The
records manager of the Office of Procurement Services shall determine
whether the identified information is confidential pursuant to the
Maricopa County Procurement Code.
10.42 INTEGRATION
This contract represents the entire and integrated agreement between the
parties and supersedes all prior negotiations, proposals,
communications, understandings, representations, or agreements,
whether oral or written, expressed, or implied.

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10.43 UNIFORM ADMINISTRATIVE REQUIREMENTS
By entering into this contract, the Contractor agrees to comply with all
applicable provisions of Title 2, Subtitle A, Chapter II, Part 200—UNIFORM
ADMINISTRATIVE REQUIREMENTS, COST PRINCIPLES, AND AUDIT
REQUIREMENTS FOR FEDERAL AWARDS contained in Title 2 C.F.R. § 200
et seq.
10.44 GOVERNING LAW
This contract shall be governed by the laws of the State of Arizona. Venue
for any actions or lawsuits involving this contract will be in Maricopa
County Superior Court, Phoenix, Arizona.
10.45 FORCED LABOR
10.45.1 By submitting a bid for this solicitation and/or entering into a
contract as a result of this solicitation, contractor agrees to
comply with all applicable portions of Arizona Revised Statutes
Section 35-394. Contracting; procurement; prohibition; written
certification; remedy; termination; exception; definitions.
10.45.2 Contractor certifies that it does not currently, and agrees for the
duration of the contract, that it will not use:
10.45.2.1 The forced labor of ethnic Uyghurs in the People’s
Republic of China.
10.45.2.2 Any goods or services produced by the forced labor
of ethnic Uyghurs in the People’s Republic of China.
10.45.2.3 Any contractors, subcontractors or suppliers that
use the forced labor or any good or services
produced by the forced labor of ethnic Uyghurs in
the People’s Republic of China.
10.45.3 If contractor becomes aware during the term of the agreement
that contractor is not in compliance with this paragraph, the
contractor shall notify the County within five business days
after becoming aware of the noncompliance. If the contractor
fails to provide a written certification to the County that the
contractor has remedied the noncompliance within 180 days
after notifying the County of its noncompliance, then the
agreement terminates, except that if the agreement termination
date occurs before the end the 180 day period, the agreement
terminates on the agreement termination date.

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10.46 PRICES
Contractor warrants that prices extended to County under this contract
are no higher than those paid by any other customer for these or similar
services.
10.47 ORDER OF PRECEDENCE
In the event of a conflict in the provisions of this contract and Contractor’s
license agreement, if applicable, the terms of this contract shall prevail.
10.48 UNIQUE ENTITY IDENTIFIER (UEI) AND SYSTEM FOR AWARD
MANAGEMENT REGISTRATION
All contractors must have a UEI number through
https://sam.gov/content/entity-registration. Contractor must also
maintain current information and active registration with the System for
Award Management (www.sam.gov) throughout the term of the contract.
10.49 RELIGIOUS ACTIVITIES
The contractor agrees that costs, planned or claimed, including costs
incurred, shall not include any expense for any religious activity.
10.50 POLITICAL ACTIVITY PROHIBITED
None of the funds, materials, property, or services contributed by the
County or the contractor under the agreement shall be used in the
performance of this agreement for any partisan political activity, or to
further the election or defeat of any candidate for public office.
10.51 EQUAL EMPLOYMENT OPPORTUNITY
10.51.1 The contractor shall not discriminate against any employee or
applicant for employment because of race, age, disability, color,
religion, sex, or national origin. The contractor shall take
affirmative action to ensure applicants are employed and that
employees are treated during employment without regard to
their race, age, disability, color, religion, sex, or national origin.
Such action shall include but is not limited to the following:
employment, upgrading, demotion or transfer, recruitment, or
recruitment advertising, lay-off or termination, rates of pay or
other forms of compensation, and selection for training,
including apprenticeship.
10.51.2 Contractor shall comply with the following provisions:

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10.51.2.1 Title VI and VII of the Civil Rights Act of 1964, as
amended (42 U.S.C. §§ 2000a, et seq.);
10.51.2.2 The Rehabilitation Act of 1973, as amended (29
U.S.C. §§ 701, et seq.);
10.51.2.3 The Age Discrimination in Employment Act of 1967,
as amended (29U.S.C. §§ 621, et seq.);
10.51.2.4 The Americans With Disabilities Act of 1990 (42
U.S.C. §§ 12101, et seq.); and Arizona Executive
Order 2009-09, as amended, et seq. which
mandates that all persons shall have equal access
to employment opportunities.
10.51.2.5 Contractor understands that the United States has
the right to seek judicial enforcement of this
assurance.
10.52 CERTIFICATION REGARDING LOBBYING
10.52.1 Contractor certifies, to the best of their knowledge and belief,
that:
10.52.1.1 No federal appropriated funds have been paid or
will be paid, by or on behalf of the contractor, to any
person for influencing or attempting to influence an
officer or employee of any agency. This applies to a
Member of Congress, an officer or employee of
Congress, or an employee of a Member of
Congress in connection with the awarding of any
federal contract, the making of any federal grant.
Including the making of any federal, loan the
entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or
modification of any federal contract, grant, loan, or
cooperative agreement.
10.52.2 If any funds other than federal appropriated funds, have been
paid or will be paid to any person for influencing or attempting
to influence an officer or employee of any agency, member of
Congress, an officer or employee of Congress, or an employee
of a member of Congress in connection with this federal
contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form-LLL,
“Disclosure Form to Report Lobbying,” in accordance with its
instructions.

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10.52.3 Contractor shall include Lobbying Certification language in the
award documents for all subcontractors (including sub-grants,
and contract under grants, loans, and cooperative agreements)
and that all sub-recipients shall certify and disclose accordingly.
10.52.3.1 The Lobbying Certification is a material
representation of fact upon which reliance was
placed when this transaction is made or entered
into. Submission of this certification is prerequisite
for making or entering into this transaction
imposed by section 1352, Title 31, U.S. Code. Any
successful proposer(s) who fail to file the required
certification shall be subject to a civil penalty of not
less than $10,000.00 and not more than
$100,000.00 for each such failure.
10.53 CLEAN AIR ACT & CLEAN WATER ACT
Contractor must comply with all applicable standards, orders, or
requirements issued under section 306 of the Clean Air Act (42 U.S.C.
7606), section 508 of the Clean Water Act (33 U.S.C. 1368) Executive
Order 11738, and Environmental Protection Agency regulations.
10.54 ENERGY POLICY AND CONSERVATION ACT
Contractor must adhere to the standards and policies relating to energy
efficiency, which are contained in the State energy conservation plan
issued in compliance with the Energy Policy and Conservation Act (Pub.
L. 94-163, 89 Stat.871).
10.55 COMPLIANCE WITH WEB CONTENT ACCESSIBILITY GUIDELINES
(WCAG)
Contractor agrees to the extent applicable that, as of April 26, 2027,
CorVel shall comply with the requirements specified in the Web Content
Accessibility Guidelines (WCAG). In the event CorVel and Customer are
unable to mutually agree regarding accessibility issues or to adequately
address requests for accommodation after undertaking reasonable efforts,
the parties shall resolve the issue as pursuant to Section 10.56 “Contract
Disputes”. Customer or its designees can through their own means verify
websites and the level of compliance of outwardly facing website content
with WCAG success criteria and conformance requirements and any other
applicable governmental regulations regarding accessibility.
10.56 CONTRACT DISPUTES
All Contract disputes will be handled in accordance with the Maricopa
County Procurement Code, MCI-906

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10.57 INCORPORATION OF DOCUMENTS
10.57.1 The following are to be attached to and made part of this
Contract:
10.57.1.1 Exhibit A – Vendor Information and Pricing
10.57.1.2 Exhibit B – Scope of Work
10.57.1.3 Exhibit B-1 - Vendor Narrative
10.57.1.4 Exhibit C - CorVel Healthcare Corporation CareMC License
Agreement
10.58 NOTICES
All notices given pursuant to the terms of this contract shall be addressed
to:
For County:
Maricopa County
Office of Procurement Services
301 W. Jefferson St. Suite 700
Phoenix, Arizona 85003-2164
For Contractor:
CorVel Corporation
1920 Main Street Suite 900
Irvine CA 92614
Att: Legal Department
10.59 INQUIRIES
10.59.1 Administrative telephone/email inquiries shall be addressed to:
ANDREA STUPKA, PROCUREMENT OFFICER
TELEPHONE: (602) 506-3504
Andrea.Stupka@maricopa.gov
10.59.2 Inquiries may be submitted by telephone but must be followed
up in writing. No oral communication is binding on Maricopa
County.
Signatures Next Page


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EXHIBIT A
VENDOR INFORMATION AND PRICING
COMPANY NAME: CorVel Healthcare Corporation
DOING BUSINESS AS (dba): N/A
MAILING ADDRESS: 5128 Apache Plume Road, Suite
400 Ft. Worth, TX 76109
REMIT TO ADDRESS: 1920 Main Street, Suite 900
Irvine, CA 92614
TELEPHONE NUMBER: 602-287-8722
WWW ADDRESS: www.corvel.com
CONTACT NAME: Valerie Pylant, Account Executive
CONTACT TELEPHONE NUMBER: 602-287-8722
CONTACT EMAIL ADDRESS: Valerie_pylant@corvel.com
UNIQUE ENTITY IDENTIFIER (UEI) KW7HLKPXS7G3
YES NO
WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM
THIS CONTRACT:*
* CorVel can agree to enter into piggybacking or cooperative purchase
agreements with other governmental entities provided the following
occurs:
1) Maricopa County assumes all responsibility and liability and shall be
payor for such government entity requiring CorVel to provide its
services under the County Agreement; or
2) Each government entity wishing to piggyback off the original County
Agreement will enter into a direct standalone agreement with CorVel
using the same terms and conditions excluding pricing which will be
solely determined by CorVel based on volume and types of services
provided.
WILL ACCEPT PROCUREMENT CARD FOR PAYMENT:
PAYMENT TERMS - NO TERMS

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1.0 PRICING: RESPONSE
1.1 Workers' Compensation Medical Bill
Review and Check Writing
1.1.1 OPTION A: Respondent shall
indicate/offer fixed percentage of "net
savings" offer, for medical bill review
services. Respondent must indicate what
types of charges are to be considered to
determine fees i.e. (1) BR-Bill Review
(reduction to fee schedule), (2) PPO-
Preferred Provider Organizations (Network
discount below fee schedule), (3) OSR-
Outside Review (Such as QMedtrix), (4)
Any other codes/modifiers to be used -
please indicate and explain/outline. 9.5 %
1.1.3 Respondent's "guaranteed
turnaround time" (calendar days) for
medical review from the date the original
bill is made available for review
(turnaround time of seven (7) calendar
days maximum, is required. See Section
2.1.1.10 7 DAY
1.1.4 Utilization review (all states)
1.1.4.1 Peer Review Fees $292
Plus peer physician fees, if
1.1.4.2 Outpatient $175 applicable
Plus peer physician fees, if
1.1.4.3 Inpatient $175 applicable
1.1.5 Check writing $3.00 PER CHECK
1.1.6 Additional Pricing
1.1.6.1 Data conversion fee Included FLAT FEE
1.2 Workers’ Compensation
Pharmacy Benefit Manager
Services
PREFERRED SECONDARY
1.2.1 Retail NETWORK NETWORK
Brand -15%
Generic -
1.2.1.1 AWP less discount 50% % N/A %
1.2.1.2 Rebate on ALL Per prescription
prescriptions N/A $N/A

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1.2.1.3 Acquisition cost N/A
1.2.1.4 Dispensing fee $2.00 $N/A Per prescription
Pricing must follow ICA adopted Pharmaceutical Fee Schedules at link above per ARS 32-
1963.01
1.2.2 Specialty drugs pricing
1.2.2.1 AWP less
discount -15 %
1.2.2.2 Rebate on ALL Per
prescriptions $N/A prescription
1.2.2.3 Acquisition cost $N/A
Per
1.2.2.4 Dispensing fee $2.00 prescription
Pricing must follow ICA adopted Pharmaceutical Fee Schedules at link above per ARS 32-
1963.01
1.2.3 Infusion drugs
pricing
We honor our rates through
PBM, invoices outside of
PBM would be subject to fee
1.2.3.1 AWP less schedule and PPO
discount reductions in bill review.
CorVel accepts a per transaction fee in lieu of rebates
when acquiring medications, this enables us to
recognize the impact of the rebate in real time and
apply it across all transactions. We pass 100% of this
1.2.3.2 Rebate on ALL rebate benefit to our customers; the benefit is reflected
prescriptions and built into the negotiated customer rates.
1.2.3.3 Acquisition cost $
Per
1.2.3.4 Dispensing fee $ prescription
Pricing must follow ICA adopted Pharmaceutical Fee Schedules at link above per ARS 32-
1963.01
1.2.4 Injectable drugs
pricing
We honor our rates through
PBM, invoices outside of
PBM would be subject to fee
1.2.4.1 AWP less schedule and PPO reductions
discount in bill review.

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CorVel accepts a per transaction fee in lieu of rebates
when acquiring medications, this enables us to
recognize the impact of the rebate in real time and
apply it across all transactions. We pass 100% of this
1.2.4.2 Rebate on ALL rebate benefit to our customers; the benefit is
prescriptions reflected and built into the negotiated customer rates
Pricing must follow ICA adopted Pharmaceutical Fee Schedules at link above per ARS 32-
1963.01
1.2.5 Generic drugs
1.2.5.1 Total number of
generic drugs on MAC (see
Section 5.5.2.2.4 in the
solicitation) N/A MAC list
Will work to determine appropriate MAC
list.
1.2.5.2 Guaranteed
OVERALL discount on
generic drugs -50 %
This is an annual generic rate.
1.2.6 DME equipment
discount percentage 15 %
Off ICA Fee Schedule or 80th Percentile of
Fair Health's Usual and Customary Pricing
Index, whichever is lower.
Price attachment - DME Services are
Quoted at upon receipt of referral

SERIAL# 260106-RFP

SERIAL# 260106-RFP

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EXHIBIT B
SCOPE OF WORK
1.0 INTENT
1.1 Maricopa County (County) is a self-insured and self-administered
government entity providing Workers Compensation coverage to more than
14,000 employees, and processing approximately $6.5M in medical
payments annually. The intent of this solicitation is to identify a
contractor(s) for the purpose of providing the following:
1.1.1 Effective and efficient medical bill review and check writing
services Bill Review and Check Writing Services (BRCWS) for the
County’s entire workers’ compensation program.
1.1.1.1 The average number of bills received is 9,000 annually. For
fiscal year 24-25, the number of bills received was 8520
with a total amount billed of $7,646,178.69; these totals
are less duplicate billings.
1.1.2 A Pharmacy Benefit Manager (PBM) to provide workers’
compensation prescription benefit management services through
a network of pharmacies.
1.2 Other governmental entities under agreement with the County may have
access to services provided hereunder (see also Sections 7.0 and 8.0
above).
1.3 The County reserves the right to add additional contractors, at the County’s
sole discretion, in cases where the currently listed contractors are of an
insufficient number or skill set to satisfy the County’s needs.
1.4 The County reserves the right to award this contract to multiple vendors.
The County reserves the right to award in whole or in part, by item or group
of items, by section or geographic area, or make multiple awards, where
such action serves the County’s best interest.
1.5 Once the contract has been awarded, the existing contracts for the
individual scopes of work will be terminated. This contract will take
precedence over any existing contract.
2.0 SCOPE OF WORK
2.1 Minimum Technical Requirements for Workers’ Compensation Medical
BRCWS.

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2.2 BRCWS shall be required to provide the necessary services at the direction
of the County’s Self- Insured Risk Trust Fund, RMD.
2.2.1 BRCWS Responsibilities
2.2.1.1 Review all individual bills for all medical services
received by County employees for an accepted industrial
injury and reject or reduce payments for bills containing
charges in excess of the Industrial Commission of
Arizona’s (ICA) Physician’s Fee Schedule. Notify provider
of any rejected or reduced charges and instruct provider
on resubmission procedures.
2.2.1.2 Review individual bills and identify medically
unnecessary procedures per Evidence-Based Medicine
(EBM) Guidelines (https://www.azica.gov/official-
disability-guidelines). Notify provider of any rejected or
reduced charges and instruct provider on resubmission
procedures.
2.2.1.3 Review individual bills and identify improperly coded
medical procedures. Notify provider of incorrect coding,
return invoice for proper coding, and instruct provider on
resubmission procedures.
2.2.1.4 Review individual bills and identify medical providers
who provide excessive utilization of their services
procedures per EBM Guidelines. Provide a list of
identified providers, who provide excessive utilization of
their services, to RMD for review. Report to RMD as the
provider is identified but not less than yearly.
2.2.1.5 Review individual bills and identify medical procedures
not covered by the ICA Physician Fee Schedule. Notify
provider of any rejected or reduced charges and instruct
provider on resubmission procedures.
2.2.1.6 Review all bills and identify duplications. BRCWS shall
not charge a fee for duplicate bill submissions.
2.2.1.7 Track prescription usage and alert the RMD assigned
adjuster for potential abuse when identified.
2.2.1.8 Review bills not covered under the ICA Physician’s Fee
Schedule and determine if the provider has charged
according to reasonable and customary rates
established by Centers for Medicare/Medical Services

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(CMS) rate schedule. Notify provider of any rejected or
reduced charges and instruct provider on resubmission
procedures.
2.2.1.9 Provide a detailed accounting of all savings, duplicate
bills, prescription charges and physical therapy charges
with the BRCWS invoice. Bill review charges must be
billed at least monthly.
2.2.1.10 Review, as part of BRCWS’ regular job duties, each bill
within a maximum of a seven-calendar day turnaround
time, starting from the date the bill is made available to
the BRCWS. Consideration shall be given to those
BRCWS who propose a turnaround time of less than
seven calendar days, starting from the date the bill is
made available to the BRCWS.
2.2.1.11 The BRCWS shall be provided with the original bill for
review and evaluation. It is the responsibility of the
BRCWS to arrange for the pick-up and return of said bill
and related documentation in a manner and frequency
that is acceptable to Risk Management. Electronic
transfers using the formats referenced in sections
2.1.1.18.4 and 2.1.1.18.6 are preferred.
2.2.1.12 County has contracted with certain vendors at below-
State-mandated fee schedules, BRCWS shall scan, and
upload bills and attachments from these vendors into
the County’s claims database, without processing, at no
additional cost.
2.2.1.13 BRCWS shall provide a dedicated quality assurance
representative that will assist in the handling of
problems, disputes, and workflow challenges. This
representative shall be available to the County agency
during normal working hours, Monday through Friday,
7:30 a.m. MST to 5:00 p.m. MST, excluding County
holidays (list of County holidays available upon award),
via dedicated phone (dedicated hotline preferred) and/or
email. When deemed necessary by Risk Management,
the BRCWS shall provide additional resources, at no
additional cost to the Risk Management Department,
should challenges or problems arise and the BRCWS is
unable to fulfill any requirements as stated herein.

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2.2.1.14 BRCWS shall supply County with automated provider
reimbursement through check writing services in
accordance with provider specifications.
2.2.1.15 A transmission reflecting the results of the hospital and
medical bill audit/review services rendered by BRCWS
will be submitted and a check for each explanation of
benefits (EOB) will be automatically generated by the
BRCWS.
2.2.1.16 BRCWS will transmit, via an interface between the
BRCWS and Risk Management’s claim database, the
results of all bill review integrated services to County for
the express purpose of downloading the data into
County’s claims management system, which tracks
provider payments and bill review fees back to the
appropriate and corresponding County claim file.
2.2.1.17 Check writing services shall also include Internal
Revenue Service (IRS) form 1099 filing and associated
follow-up, bank reconciliation, and bank fees specifically
related to such processing.
2.2.1.18 BRCWS must be able to interface with Origami Risk
Database, a web-based risk management software
system, to include the following data interface (at
minimum) at no additional cost to the County:
2.2.1.18.1 Claim file
2.2.1.18.2 Vendor file
2.2.1.18.3 Payment file
2.2.1.18.4 History load (history data to be provided by
the incumbent bill review vendor)
2.2.1.18.5 Check number and payment information
import
2.2.1.18.6 Master Boot Record (MBR) interface
2.2.2 Medical Bill Review Questions
As part of consideration for the Workers’ Compensation Medical
BRCWS, respondent must answer questions in Section 5.6.1.1.1
(Format and Content of the solicitation). Responses to these
questions will become part of the resultant contract.
2.2.3 Reporting Requirements

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2.2.3.1 The BRCWS shall electronically submit a comprehensive
monthly net savings report within 15 days of each month
end to the Risk Management Department. The report
shall include the following categories:
2.2.3.1.1 Total dollar amount of bills submitted for
audit
2.2.3.1.2 Bill review reductions
2.2.3.1.3 PPO reductions
2.2.3.1.4 Recommended allowance
2.2.3.1.5 Gross savings
2.2.3.1.6 Gross percentage of savings
2.2.3.1.7 Total monthly fee for service
2.2.3.1.8 Overall net savings
2.2.3.1.9 Net percentage of savings
2.2.3.2 The BRCWS shall electronically submit comprehensive
check issuance reports to the designee in Risk
Management on a scheduled to be determined, but at
least weekly, of all checks written to include the
following:
2.2.3.2.1 Check number
2.2.3.2.2 Payee
2.2.3.2.3 Claim number
2.2.3.2.4 Fees charged per check written
2.2.3.3 The BRCWS shall electronically submit to Risk
Management individual providers identified as providing
excess utilization of their services per section 2.2.1.4
above as those identifications are made but not less
than yearly on the anniversary of the contract.
2.2.3.4 The BRCWS shall electronically submit to Risk
Management identification of potential abuse of
prescription medications as set forth in section 2.2.1.7
above as those identifications are made but not less
than yearly on the anniversary of the contract.
2.2.4 BRCWS Experience
2.2.4.1 The BRCWS shall have been in the workers’
compensation bill review business for a minimum of five
consecutive years. Proof of this requirement is
mandatory (i.e. business license or documentation
showing how long contractor has been in business, and
when/if incorporated).

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2.3 Minimum Requirements for Workers Compensation Pharmacy Benefit
Manger Services.
Pharmacy Benefit Manger (PBM) services shall include management
services for pharmacy and durable medical equipment (DME). It is the
expectation that the successful contractor will also be able to provide
Preferred Networks.
2.3.1 PBM shall provide workers’ compensation prescription benefit
management services described and/or as otherwise mutually
agreed to by the parties, in writing, including, but not necessarily
limited to, general support and consultative services regarding
pharmacy benefit design and implementation, network and rebate
management, administrative and claims processing services,
standard reporting packages, marketing, customer service, and
quality management and utilization management functions. In
addition, PBM may develop and implement certain additional
clinical intervention and cost-saving (e.g. voluntary tablet splitting)
programs that may be desired by the County, subject to terms and
conditions, to be agreed in writing between the parties. PBM shall
manage the current pharmacy benefit plan designs for future
innovative plan designs, notwithstanding the foregoing or any
termination rights set forth. PBM may immediately terminate or
refrain from implementing any clinical program services in any
geographic area (in their entirety or for specific drugs only) if, in
PBM’s sole determination, the implementation or continued
provision of such services is or may be in violation of applicable
laws, rules, or regulations governing the practice of pharmacy or
prescription benefits management or may otherwise present an
issue related to the practice of pharmacy or prescriptions benefits
management.
2.3.2 PBM, as the authorized prescription benefit manager, shall perform
rebate sharing and other clinical services described herein. These
services will include, but are not necessarily limited to, prior
authorization, step-therapy, systematic prospective, concurrent
and retrospective drug utilization review, and other measures that
are deemed appropriate to effectuate program management.
Accordingly, County will authorize PBM, as its prescription benefit
manager, to perform formulary management and other services
described herein.
2.3.3 With regard to billing, PBM shall invoice the County following the
close of each PBM’s monthly billing cycle. Such invoices shall
include, but are not necessarily limited to, individual prescription
claims, administrative fees, and/or any other costs and charges

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specified in the agreement. PBM shall pay claims independently for
services provided by pharmacies.
2.3.4 PBM’s clinical pharmacist and account manager shall work with
the County to satisfy the County’s reporting needs. This will include,
but is not necessarily limited to, standard management reports,
provider profiling and analysis (e.g., identifying drug patterns), ad
hoc reporting needs, and cost-controlling methods.
2.3.5 The following relates to PBM’s commitment to providing support
personnel and general onsite educational assistance throughout
the term of the contract.
2.3.5.1 Contractor shall provide a dedicated, mutually agreed
upon PBM within Maricopa County; the PBM consultant
will be the County’s key clinical pharmacist and
strategist.
2.3.5.2 The County shall have a dedicated local contractor
account manager, who will be the point of contact for the
County.
2.3.5.2.1 The local account manager shall
communicate with Maricopa County’s Risk
Management Workers’ Compensation
department regarding service issues
through the County’s contact relationship
manager (CRM) case documentation
system. The PBM shall pay for the number of
CRM case documentation system licenses
needed to service the County.
2.3.6 Reporting
2.3.6.1 PBM shall report number and dollar amounts of claims
processed each month on a summary and detail level by
plan and account structure. Report shall be received by
the County by the fifth of the following month.
2.3.6.2 PBM shall report monthly and year-to-date utilization
reports, to be received by the County by the fifth of the
following month, indicating totals of:
2.3.6.2.1 top 100 drugs by number of prescriptions
filled and by cost;

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2.3.6.2.2 generic, single-source brand and multi-
source brand dispensing rate and average
ingredient costs; and
2.3.6.2.3 cost details (plan, member, and total per
member per month (PMPM) and per
employee per month (PEPM) averages
ingredient cost, dispensing fee, average
discount percentage, and generic efficiency).
2.3.6.3 PBM shall provide an annual utilization and trend report
including overall and plan-level performance analysis
and recommendations for improvements. Report must
also include analysis of customer complaints and
appeals. Report shall be due to the County for fiscal year
end June 30th by July 15th of the following fiscal year.
2.3.6.4 PBM shall provide annually a Statement on Auditing
Standards (SAS) 70 Audit report and other reports
specified as required by the County’s annual internal
and/or external auditor. Report(s) shall be due to the
County for fiscal year end June 30th by July 15th of the
following fiscal year.
2.3.6.5 PBM must be able to interface with Origami Risk
software to include the following data interface (at a
minimum) at no additional cost to the County:
2.3.6.5.1 Claim file
2.3.6.5.2 Vendor file
2.3.6.5.3 Payment file
2.3.6.5.4 PBM must be able to post reports
compatible with County’s virtual printer
driver; County currently uses Hyland
Software Virtual Printer.
2.3.6.6 PBM shall provide quarterly performance guarantee
metrics, to be documented by County and contractor on
an annual basis, for fiscal year end June 30th by July 15th
the same year.
2.3.7 Claims Processing
2.3.7.1 PBM shall agree to have data utilization edits in place
that identify and deny duplicate claims, claims filed too
soon, and claims requiring authorization when such

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authorization is not in place and shall generate
messages to the pharmacist for review and approval or
denial of the claim due to safety issues.
2.3.8 Customer Service
2.3.8.1 PBM shall provide customer service staff that are fully
trained on Maricopa County’s pharmacy plan.
2.3.8.2 PBM shall provide a dedicated customer service team
that is available during the hours of 7:00 am to 6:00 pm
MST Monday through Friday, excluding County holidays
(list of County holidays available upon award). The PBM
team will have thorough training and knowledge in the
County’s pharmacy plan designs.
2.3.9 Implementation Plan
2.3.9.1 PBM shall provide, annually, a detailed implementation
plan with mutually agreed upon tasks assignments. The
implementation plan shall be due to the County for fiscal
year end June 30th by July 15th the same calendar year.
2.3.9.2 PBM must comply with the current ICA Pharmacy Fee
Schedule for Arizona per Arizona Revised Statutes
(A.R.S.) § 23-908.
2.3.10 Education Support
2.3.10.1 PBM shall provide the County with an array of
educational material and web-based tools that will help
educate County employees that require service on where
to obtain prescriptions and how they are covered (See
Attachment D, Pricing Sheet). The tool(s) must also
provide suggestions for additional options for cost-
effective medication within the same therapeutic class.
2.3.11 Network
With regard to the actual dispensing process involving the
contracted providers in PBM’s network, services will be provided to
members under the following terms and conditions:
2.3.11.1 Pharmacy shall dispense generic equivalent drugs in lieu
of prescribed brand name drugs, if commercially
available, if they meet the requirements of the Industrial
Commission Pharmaceutical Fee Schedule Section I(C),

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and if they are consistent with the prescriber’s orders
and the dispensing pharmacist’s professional judgment
and current Federal and State laws and regulations.
2.3.11.2 Preferred Network
2.3.11.2.1 It is expected that PBM will propose a
preferred network of retail pharmacies
where the County will receive a greater
discount than Average Wholesale Price
(AWP).
2.3.11.3 Secondary Network
2.3.11.3.1 The County shall require a network that
includes the maximum number of retail
pharmacies as possible.
2.3.11.4 Specialty Drugs
2.3.11.4.1 PBM shall provide a cost-effective Specialty
Pharmacy Program with either centralized
distribution or multi-channel distribution that
is national, convenient, consistent, and
flexible. Specialty pharmaceuticals are
generally high-cost medications that are
usually prescribed for people with complex
or chronic medical conditions, for example,
multiple sclerosis, hemophilia, hepatitis, or
rheumatoid arthritis. Medications typically
exhibit one or more of the following
characteristics: may be injected or infused,
although some may be taken orally; have
unique monitoring, storage or shipment
requirements; require additional education
and support from a health care professional;
and are usually not available at retail
pharmacies.
2.3.11.4.2 The Specialty Pharmacy Program must have
developed services to meet the unique
challenges of dispensing and monitoring
specialty pharmaceuticals. The Specialty
Pharmacy Program must provide cost-
effective care and promote positive patient
outcomes through increased adherence to
medication regimen, as well as promote an

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enhanced patient experience through the
availability of convenient scheduled delivery,
disease management programs, and
compliance monitoring that employs a care-
coordination model. In care-coordination
model, licensed clinicians (e.g. nurses,
pharmacists, and physicians) provide
comprehensive clinical management
services. Clinical professionals support
patients through a plan of care that includes
education, training, and mental health
support (e.g., behavioral health, case
management, or disease management
referral). The plan of care will address
education, interventions, compliance,
monitoring parameters, and goals and
outcomes of therapy. Non-adherence or non-
compliance to the plan and the rationale
behind the non-adherence or non-
compliance must be communicated to the
prescribing physician.
2.3.11.4.3 The Specialty Pharmacy Program must
contain provisions addressing preferred
specialty medications and biosimilars.
2.3.12 Pharmaceuticals
2.3.12.1 The Pharmaceutical Fe e Schedule applies to
prescription medicines required to treat an injured
employee, whether the medicine is dispensed by a
pharmacy or dispensed by a physician.
Medicines dispensed by either a pharmacy or physicians
are subject to the most recent Pharmaceutical Fee
Schedule, provided on the azica.gov website
https://www.azica.gov/2026-arizona-
physicians-fee-schedule
2.3.12.2 Generic drugs shall be dispensed to workers'
compensation claimants when they are available and as
provided in A.R.S. § 32-1963.01, subsections A and C
through L; for purposes of this section, the definitions
found in A.R.S. § 32-1963.01 apply.
2.3.12.3 Reimbursement for prescription medicines shall be
based on the medication dispensed, including a brand

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name drug that is dispensed, as provided in A.R.S. §
32-1963.01.
2.3.12.4 Reimbursement for prescription medicines shall be
based on the Pharmaceutical Fee Schedule in the
absence of a contractual agreement between the
pharmacy and payer governing reimbursement. Network
discounts may not be applied in the absence of a
contractual agreement with the pharmacy authorizing
such discounts.
2.3.12.5 Reimbursement for injectable drugs requires a provider
to identify the injectable drug given through the use of
an accepted industry identifier, such as the applicable
national drug code (NDC), to enable the payer to make
the appropriate payment.
2.3.12.6 As another cost reducing measure, the Commission is
asking the medical community to voluntarily prescribe
less costly drugs whenever possible.
2.3.12.7 Whether dispensed by a pharmacy or dispensed by a
medical practitioner or by a pharmacy not accessible to
the general public, the dispensing fee per prescription
shall be $7.00 as recommended by the ICA.
2.3.12.7.1 If a prescription or over the counter (OTC)
medication is administered by a medical
practitioner, a dispensing fee is not
permitted.
2.3.13 Infusion Therapy
2.3.13.1 PBM may propose a separate Specialty Infusion
Program that features cost containment and cost
avoidance to reduce and manage inappropriate
utilization of services, decrease cost drivers associated
with location of care, and identify cost-effective,
convenient, coordinated care. The Specialty Infusion
Program must improve member health and well-being by
providing access to accurate, objective, and relevant
healthcare information, improve member quality of life,
and decrease absenteeism. The Specialty Infusion
Program must demonstrate, through reports and
documentation, a defined return on investment for the
County and proven positive outcomes for members.

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2.3.14 Injectables
2.3.14.1 PBM may propose an Injectables Program to manage
the cost of injectable medication (including self-
injectable and those administered in a physician’s office
or hospital) through the PBM. The program must
demonstrate, through reports and documentation, a
defined return on investment for the County and proven
positive outcomes for members.
2.3.15 Durable Medical Equipment (DME) Distribution
2.3.15.1 PBM shall propose a DME distribution program for DME
available at a medical supply facility or retail pharmacy
store where there is a defined return on investment for
the County. This program shall include equipment,
wound care, ostomy supplies, nebulizers, respiratory
aids, and incontinence supplies. This service should be
processed through the pharmacy authorization process.

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EXHIBIT B-1
VENDOR NARRATIVE
5.6.1.1.1 The following questions must be answered to be considered for
Workers’ Compensation Medical Bill Review and Check Writing
Services (BRCWS).
5.6.1.1.1.1 Describe the implementation process you would
employ for a seamless transition of our cost
containment operations to your organization and
address all aspects including account setup, Electronic
Data Interchange (EDI) development, history transfer,
etc. Provide the name of your implementation manager
who will be assigned to the County and his/her related
professional experience.
As the incumbent for the County’s cost containment
operations, no further implementation is required at
this time. All necessary services and procedures are
already in place. However, CorVel is open to discussing
enhancements and any changes that the County is
looking to implement.
5.6.1.1.1.2 Which office locations will perform re-pricing for
our account? What is the composition of your Medical
Bill Review staff at this office (titles and number of
associates per position)?
Our Phoenix, Arizona office will continue to perform re-
pricing for the County: See address below:
1850 North Central
Avenue Suite 2005
Phoenix, AZ 85004
Contractor’s medical bill review staff includes the following
personnel:
• 1 Manager-Cristina Procita
• 2 Senior Analysts with Specialties in Quality Assurance -
Theresa Chausee, Jamie McNew
• 1 Senior Analyst, Professional Review Specialist and
CPC - Torry Shuman
• 1 Senior Analyst, Provider Relations - Bao Chang
• 3 Bill Review Analysts - Deb Gerard Melissa Levario, Mai
Thao

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• 2 Clerical Assistants - Toni Lopez, TBD
5.6.1.1.1.3 Other than reducing bills to state’s fee schedule,
elaborate on other methods your firm will provide to
allow for further reductions.
In addition to reducing bills to state fee schedules,
contractor’s bill review solution leverages a multi-
layered approach to identify and capture additional
cost savings.
Contractor integrates a proprietary PPO network and
apply negotiated discounts below the fee schedule or
usual and customary rates, maximizing in-network
savings opportunities.
Contractor’s bill review rules engine applies millions of
coding and billing edits to identify errors such as
duplicate charges, unbundling, fragmented billing, and
upcoding, while ensuring compliance with CPT,
CMS/NCCI edits, and jurisdictional guidelines. These
automated edits are supplemented by experienced bill
review analysts who perform detailed line-item reviews
to detect nuanced billing inconsistencies and patterns
that may not be captured by automation alone.
For complex or high-dollar bills, our professional review
team, comprised of registered nurses and certified
professional coders, conducts clinical and coding
validation against the medical record to confirm the
appropriateness of services billed. This process
routinely identifies additional savings by correcting
coding inaccuracies, addressing inappropriate
utilization, and validating medical necessity.
Bills that meet specific thresholds are escalated to our
expert negotiation team, which leverages clinical
insights, benchmark data, and provider-specific billing
history to negotiate reductions on out-of-network
charges or services not governed by a fee schedule. All
negotiated outcomes are secured with provider
agreements to ensure defensibility and eliminate
balance billing.
By integrating advanced technology, experienced bill
review analysts, and clinical expertise, contractors
ensure each bill is thoroughly evaluated for accuracy,

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appropriateness, and cost efficiency, consistently
delivering savings that exceed standard fee schedule
reductions.
5.6.1.1.1.4 List any affiliated PPO providers or other
providers that offer discounted programs to your
organization.
Contractor maintains an agreement with the Blue Cross
Blue Shield of Arizona network. Contractor’s exclusive
arrangement with Blue Cross Blue Shield of Arizona
offers the most PPO savings possible. Contractor is
the only company that has this arrangement with the
Blue Cross Blue Shield network.
In addition, contractor offers a proprietary PPO
network comprised of more than 1.2 million providers
nationwide and over 14,000 providers in Arizona to
offer the County local insight with national coverage.
Providers are selected from demanding criteria based
on quality, range of services, and location. Each
provider is thoroughly evaluated and credentialed, then
re-credentialed every three years. Through this
extensive evaluation process, we can provide
significant hospital, physician, and ancillary medical
savings while maintaining high-quality care.
5.6.1.1.1.5 How does your company handle charges that
are not covered by the approved and current fee
schedules on the ICA website? What method does your
company employ to ensure the County agency does not
overpay for non-covered services? Describe your
provider inquiries department and how you address
provider complaints. What specific (uniqueness) can
you offer about your handling of provider inquiries that
will ensure the number of provider complaints received
by the County’s staff is minimized? Please specifically
address Facility bills as these are not covered by the
fee schedule and a significant cost to the County.
Contractor reviews all charges not covered by the
Arizona fee schedule using a structured bill review
methodology designed to ensure accurate
reimbursement and prevent overpayment. Bills that fall
outside fee schedule parameters are identified through
client-specific special handling instructions embedded
in our bill review program. These may include

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negotiable bills, ambulance, home health, catastrophic,
and facility bills, which are not governed by standard
fee schedules and represent a significant cost
component.
For non-covered and facility services, contractor
determines appropriate reimbursement using a
combination of contract language, usual and
customary benchmarks, comparable services, and
provider-specific billing patterns. Bills meeting defined
thresholds or complexity are escalated for clinical and
coding review by registered nurses and certified
professional coders to validate medical necessity,
coding accuracy, and appropriateness of services
billed.
When applicable, bills are routed to our negotiation
team, which leverages benchmark data and provider
history to secure defensible reductions for out-of-
network and non-fee schedule services. All negotiated
outcomes are documented to ensure consistency and
eliminate balance billing risk.
To prevent overpayment, contractor applies a multi-
layered audit approach. Our rules engine applies
extensive coding and billing edits to identify duplicate
charges, unbundling, upcoding, and other
inconsistencies while ensuring compliance with CPT,
CMS/NCCI, and jurisdictional guidelines. These
automated edits are supplemented by bill review
analysts performing line-item review.
In addition, contractor’s duplicate edit process
specifically distinguishes between facility and
physician billing, ensuring accurate processing and
preventing erroneous duplicate denials or payments.
Contractor also assists in identifying and recouping any
overpayments in a timely manner.
The County’s current program is achieving strong
facility bill review outcomes, with 2024 savings equal
to 65% of total recommended payments.
Provider Portal
Contractor offers a provider portal that lets providers
quickly and easily access Electronic Fund Transfer
(EFT) and check payments as well as EOR images,

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eliminating the need for us to send paper payment
statements and emails.
Features of the provider portal include:
• View bill status for EFT and check transactions
• View EOR images
• View zero pay EORs
• Export data to Excel
• Upload documents and medical bills to CorVel
• View bundled/unbundled EFT payments
• Update provider information (add or remove provider,
update location, etc.)
Provider Inquiries Department
Providers are directed on the Explanation of Review
(EOR) to contact Contractor with any reimbursement
questions. Inquiries may be submitted via phone,
email, or through contractor’s web platforms. Our
Provider Relations team responds to all inquiries within
24 business hours and serves as the central point of
contact for billing questions, reconsideration requests,
and payment clarification. If a provider contacts the
adjuster directly, they are referred back to contractor to
ensure consistent handling and reduce administrative
burden on County staff.
Contractor also provides a secure provider portal that
allows providers to access bill status, payment details,
and EOR images, including zero-pay determinations,
and to upload supporting documentation. This
transparency reduces the need for follow-up calls and
expedites resolution of questions.
Provider Complaints and Minimization Approach
All provider complaints are managed through a formal
grievance process with defined escalation protocols,
including review by management and the Provider
Network Quality Assurance Committee when needed.
Each grievance is investigated, documented, and
resolved with written communication to all parties.
Contractor minimizes provider complaints reaching
County staff through:
• centralized handling of all provider inquiries by the
Provider Relations team
• clearly documented reimbursement rationale on EORs
• consistent application of bill review rules and
reimbursement methodologies
• proactive provider access to payment and bill status

SERIAL# 260106-RFP
through the portal
• structured escalation and resolution processes
5.6.1.1.1.6 Does your company use a third party to process
billing? If so, what company is used?
Preference will be given to companies that do NOT use
a third-party bill processor.
No, we do not use a third-party vendor to process our
bills. Contractor manages bill review from intake to
EOR on bills that range in complexity from provider to
hospital bills. Our software, systems, and staff are
direct resources of our company.
We have over 200 employees involved in the
development, management and support of our bill
review software. Payors can review and approve bills
online as well as access savings reports in an instant
through our online system. The process is paperless,
through scanning and EDI as well as cost effective and
efficient with no storage or filing costs. Our rapid
turnaround time and online platform make information
available in real-time. For a complete, end-to-end
solution, contractor supports provider reimbursement
through weekly invoicing and ACH credits, issuing
payments to providers upon customer approval.
5.6.1.1.1.7 What is the process for the check writing
service? Is pre-payment required? How frequently are
invoices sent?
Contractor provides treasury services to enhance
efficiencies for the County. We provide access to an
online bill approval tool where Maricopa County can
track the status of a bill, view images and EORs, and
approve or deny payment. Once a bill is marked for
approval, the EOR and the attached check are mailed
to the provider within 48 hours (Or EFT issued). An
electronic payment file is then sent to the County
and/or your TPA systems on a nightly basis.
The current process for the County is as follows:
• Once a week on Fridays, the treasury department sends
an invoice and check register for the previous week to
the County
• The County funds via ACH Credit
• Once we receive the funds, we release the checks,

SERIAL# 260106-RFP
which are mailed out to providers
5.6.1.1.1.8 Provide proof that respondent has been in the
Workers’ Compensation Bill Review business for a
minimum of five consecutive years (see Section
2.2.4.1).
Contractor has been providing bill review services for
over 35 years and has been providing the County with
bill review services for 11 years.
5.6.1.1.1.9 Provide sample reports as required in Section
2.2.3.1. Please see Attachment A: Sample Bill Review
Reports
5.6.1.1.2 Respondents must address the following in their proposal to be
considered for Pharmacy Benefit Manager (PBM) services (see
Section 2.3.).
5.6.1.1.2.1 Implementation plan per Section 2.3.9
CorVel’s pharmacy program is already implemented
for Maricopa County, with demonstrated results
including 56% pharmacy utilization and 97.3% generic
efficiency in 2024. No implementation is required at
this time. The process below outlines our standard
approach for implementing the program for new
clients, led by our Pharmacy Solutions Implementation
Team and supported by close coordination with the
client and prior pharmacy program to ensure a smooth
transition.
• Transfer medications and claims history of tail claims
to CorVel, including drug history and mail order
tail/legacy claims.
• Develop a custom formulary to meet Maricopa County's
specific program needs. Each formulary is reviewed
quarterly with CorVel’s nurse, pharmacist, and data
analysis team to ensure quality and safe care.
• Train adjusters on CorVel’s pharmacy processes,
including point of sale, prior authorization and
formulary training. Our proprietary claims management
system, provides a proactive and comprehensive
analysis of bill review data. All medication transactions
are visible for maximum pharmacy spend management.
• Notify eligible injured workers of new benefits with a
text able pharmacy card. A notification letter is sent
with a sampling of the 64,000 participating pharmacies
in the pharmacy network.
• Initiate pharmacy level reminders of new coverage for
injured workers with clear messaging, including CorVel

SERIAL# 260106-RFP
Pharmacy Solutions phone number to call our nationally
Certified Pharmacy Technicians with questions.
• Follow up with Maricopa County on a monthly basis.
The Pharmacy Solutions Implementation team closely
monitors the first 30 days’ activity, followed by a one-
month review meeting.
5.6.1.1.2.2 Dedicated PBM consultant to be the County’s
key clinical pharmacist and strategist; provide the
name of your consultant and his/her related
professional experience.
Joseph Hunt, PharmD, possesses extensive
experience navigating fast-paced retail environments,
ensuring medication safety, optimizing workflows, and
managing patient counseling and care. He
successfully owned and operated a pharmacy
business, mastering the operational, financial, and
regulatory demands of independent and compounding
pharmacy management while fostering deep
community relationships. For the last 5 years, Joe has
utilized his previous pharmacy industry experience to
provide specialized clinical support for workers'
compensation claim management personnel,
navigating complex injury management, confirming
relatedness, interpreting utilization reviews, and
ensuring medication appropriateness.
Ryan Hamm, PharmD, RPH, has been a Clinical
Pharmacist with CorVel in the Worker’s Compensation
industry for 7 years. He specializes in clinical support,
formulary management, prior authorization assistance,
and pharmacy reviews. Ryan collaborates with team
members, clients, and healthcare professionals to
provide excellent pharmaceutical care for injured
workers”.
Doctor Hunt and Doctor Hamm work side by side with
our Pharmacy Technicians to provide immediate
support and clinical guidance for any needed
medication decisions when more detailed input would
benefit the claim and injured worker. The team is
available to provide guidance and updated clinical
information to CorVel staff, claims handlers, nurse
case managers or even treating prescribers. They can
explore and recommend alternative medication
solutions on a case-by-case basis.

SERIAL# 260106-RFP
Contractors Clinical Team of pharmacists and nurses
are called upon daily to provide clinical insight and
information on any drug utilization (DUR) function or
concern. The more common areas are therapeutic
duplications, high opioid MEQ scores and/or weaning
potential or opportunities, polypharmacy, drug-drug
interactions (DDIs), and adverse effects or side effects
and recommended ways to mitigate them.
Pharmacist Resumes – available upon request.
5.6.1.1.2.3 Dedicated local account manager; provide the
name of your dedicated local account manager who
will be assigned to the County and his/her related
professional experience
Dani Oluyeba currently serves as the local account
manager for the County. Dani has over 20 years of
extensive experience in account management and
client relationship management. She has worked in the
pharmacy and finance industries with proven success
in first class customer service.
Key Staff Resumes – available upon request.
5.6.1.1.2.4 List of all generic drugs on your Maximum
Allowable Cost (MAC) manufacture list
Contractor does not maintain a traditional Maximum
Allowable Cost (MAC) list. Instead, we apply a
competitive discount methodology across all generic
medications, which we have found delivers superior
savings and consistency in the workers’ compensation
market.
Contractor promotes and supports a generic-first
dispensing strategy. All brand-name medications are
stopped at the point of sale and reviewed by our team
of nationally certified pharmacy technicians. When a
brand medication is prescribed, the team proactively
requests substitution to a therapeutically equivalent
generic alternative whenever appropriate.
In cases where a DAW 1 (“Dispense as Written – No
Substitution”) is indicated, contractor initiates
outreach to the prescribing provider to confirm clinical
necessity. A Letter of Medical Necessity is required for

SERIAL# 260106-RFP
all brand-name medications to ensure
appropriate utilization and cost control.
This approach ensures optimized savings,
strong clinical oversight, and alignment with
evidence-based prescribing practices.
5.6.1.1.2.5 List of off-list price or retail price of DME
Contractors DME network panel is
comprised of several national industry
leading providers. To help ensure optimized
savings, all services are quoted at the point
of the referral, and quotes are reviewed
before service delivery. As a quoted service,
we do not have a full pricing list. However,
contractor’s average DME savings from fee
schedule and reasonable and customary
rates is approximately 23%.
5.6.1.1.2.6 List of preferred networks of retail
pharmacies. Please see Attachment D:
Arizona Retail Pharmacies
5.6.1.1.2.7 Sample reports as required by Section 2.3.6
Contractor will provide Maricopa County
with a full variety of reports to analyze our
pharmacy services, demonstrate savings,
performance, generic, brand, and mail order
drug utilization, penetration, as well as
additional metrics. On a monthly basis,
Maricopa County will also receive a detailed
report of all prescriptions filled during the
month. The report includes which claimants
filled prescriptions, the name of the
prescription and the cost.
Standard pharmacy reports include:
• Pharmacy savings detail
• Pharmacy savings summary
• Drug specific report
• Pharmacy alert report
• Pharmacy detail report
• Pharmacy management report
• Clinical modeling report
• Medication review report
Sample Pharmacy Reports - available upon request.

SERIAL# 260106-RFP
EXHIBIT C
CORVEL HEALTHCARE CORPORATION
CAREMC LICENSE AGREEMENT
This CareMC License Agreement (this “License Agreement”) is entered into as the 30th day of September
2026 (the “Effective Date”) by and between CorVel Healthcare Corporation (“CorVel”), 1920 Main Street, Suite
900, Irvine, CA 92614 and Maricopa County (“Customer”).
RECITALS
WHEREAS, CorVel has developed a proprietary software solution (the “CareMC Application”) which is
accessible via the CorVel web site located at URL www.caremc.com (the “CareMC Site”), through which
CorVel provides its customers with the option of utilizing certain managed care services, including certain bill
review services, online (such automated and online components of CorVel’s managed care services, “Online
Services”); and
WHEREAS, CorVel provides its customers with the option of accessing certain Managed Care Services by
means of the CareMC Application via the CareMC Site; and
WHEREAS, CorVel and Customer have entered into a contract for Workers’ Compensation Bill Review,
Pharmacy Benefits and Physical Therapy 260106-RFP dated September 30, 2026 (“260106-RFP”) to which this
License Agreement is attached as Exhibit C;
NOW, THEREFORE, in consideration of the premises set forth above, the promises made herein, and other
good and valuable consideration the receipt which is hereby acknowledged, the parties agree as follows:
1. ACCESS TO THE CAREMC APPLICATION
A. Terms of Use. The parties acknowledge and agree that the terms and conditions under which particular
Managed Care Services are provided by CorVel and the terms and conditions under which Customer may access
and use the CareMC Application in order to utilize the Online Services shall be governed by the terms and
conditions of 260106-RFP, including this License Agreement. In the event of a conflict between the terms and
conditions of this License Agreement and the terms and conditions of 260106-RFP, the terms and conditions of
260106-RFP shall govern.
B. Registration Information. Prior to accessing the CareMC Application, Customer shall provide CorVel with
certain registration information requested therein (“Registration Information”). Customer covenants that the
Registration Information Customer provides will be true, accurate, current and complete and will be updated as
necessary to keep it so.
D. Passwords and Levels of Access. As soon as practicable after the execution of this CareMC License
Agreement, Customer shall designate a group of authorized end users as requiring access to the CareMC Application
and Online Services (each an “Authorized End User”). CorVel shall create a unique username and password for
each individual Authorized End User. Customer shall then designate Authorized End Users. The Authorized End
Users (“Restricted End Users”) shall have access to a “read only” for the data available on the CareMC Application
that relates to claims specific to that Authorized End User and such other data that Customer specifically requests
in writing be accessible to such Authorized End Users. Access by Authorized End Users to data available on the
CareMC Application shall be subject in all cases to any limitations imposed by applicable law.
E. Email Domain Names. If Customer requires utilizing more than one email domain name for itself or its
wholly owned subsidiaries and/or affiliates this CareMC License Agreement must attach a list of such email domain
names as Attachment 2. After execution of the License Agreement, any changes or modifications required by
Customer for itself and its wholly owned subsidiaries and/or affiliates shall require a written amendment mutually
agreed to by both parties. Email: @maricopa.gov.
F. Security of Passwords. Customer will be solely responsible for (i) selecting Authorized End Users, (ii)
assigning the various levels of authority and access each Authorized End User may have to the CareMC
Application, Online Services and Customer Data (defined below), (iii) ensuring that only Authorized End Users
have access to the passwords and multi-factor authentication (MFA) passcodes provided by CorVel or as changed
from time to time by Authorized End Users, (iv) implementing a system to control, track and account for all of
Customer’s CareMC Application passwords, (v) strictly maintaining the confidentiality, security and integrity of

SERIAL# 260106-RFP
all passwords and MFA passcodes used to access the CareMC Application and Online Services, and (vi) ensuring
that Authorized End Users shall at all times comply with the terms and conditions of this CareMC License
Agreement. Passwords may be changed at any time by Authorized End Users and must be changed at least once
every ninety (90) days. Customer further agrees that it shall notify CorVel immediately in writing if Customer
knows or suspects that the confidentiality, security or integrity of a password or MFA passcode has been
compromised. CorVel will provide reasonable cooperation to Customer in the event of such compromise.
G. Customer Data. Responsibility for ensuring that the content and data input into the CareMC Application by
Customer or Authorized End Users (“Customer Data”) is accurate, reflects Customer’s requirements and is entered
correctly lies solely with Customer. All data generated by and through Customer’s use of the CareMC Application
and Online Services shall reside on CorVel’s server. CorVel reserves the right to temporarily suspend access to any
Customer Data that it determines, in its sole discretion, violates the terms and conditions of this License Agreement
or any applicable laws.
H. Changes to the CareMC Application. CorVel reserves the right, at any time in its sole discretion and without
liability to Customer, to delete or change features of the CareMC Application, CareMC Site or Online Services
provided such changes do not materially alter the functionality, efficiency or performance of the CareMC
Application.
2. LICENSE AND RESTRICTIONS
A. Limited License. Subject to the terms and conditions of this License Agreement, CorVel grants to
Customer during the term of 260106-RFP a limited, non-exclusive, non-transferable, non-sublicensable license to
access and use, and allow Authorized End Users to access and use, the CareMC Application via the CareMC Site
solely for Customer’s own internal business use and operations. Customer shall access and use the CareMC
Application in accordance with the user’s guides and online instruction provided to Customer by CorVel
(“Documentation”) and all applicable laws, statutes, rules and regulations.
B. Restrictions. Customer shall not, and shall not allow Authorized End Users or any third party to (i) rent,
lease, re-license or otherwise provide access to the CareMC Application or Online Services to any third party, (ii)
alter, modify or create derivative works of the CareMC Application, (iii) use any reverse compilation,
decompilation or disassembly techniques or similar methods to determine any design structure, concepts and
construction method of the CareMC Application or replicate the functionality of the CareMC Application for any
purpose, or (iv) copy the CareMC Application or any content, materials, information and other data provided by
CorVel on the CareMC Site or used in providing the Online Services (“CorVel Content”) and/or Documentation
without CorVel’s prior written consent.
C. Third Parties. Customer shall not allow any third party to have access to the CareMC Application or
Online Services without prior written consent of CorVel and ensuring that (i) such third party enters into a legally
enforceable written agreement with CorVel, or (ii) CorVel and Customer shall enter into a written agreement
whereby Customer assumes all responsibility and liability for access by such third party.
D. Ownership. CorVel owns and shall retain all right, title and interest in and to the CareMC Application,
Documentation, CareMC Site, Online Services, CorVel Content and any intellectual property rights inherent
therein or arising therefrom. In addition to CorVel’s rights in the individual elements of the CorVel Content,
CorVel owns a copyright in the selection, coordination, arrangement and enhancement of the CorVel Content.
Neither Customer nor any Authorized End User shall obtain any ownership rights, express or implied, or any other
rights other than those expressly set forth herein in the CareMC Application, Documentation or CorVel Content.
E. Compliance Monitoring and Audits. CorVel may monitor and perform remote audits of Customer’s use of
the CareMC Application and CareMC Site for the purpose of verifying that Customer and Authorized End Users
are using the CareMC Application in compliance with the terms of this CareMC License Agreement. CorVel
reserves the right, to temporarily suspend Customer’s or any Authorized End User’s access to the CareMC
Application in the event Customer or such Authorized End User engages in, or CorVel in good faith suspects is
engaged in, any unauthorized conduct. Upon such suspension, CorVel shall immediately inform Customer of such
suspension and provide Customer support to resolve any issue which has arisen within a commercially reasonable
timeframe.
3. INFRASTRUCTURE, MAINTENANCE AND SUPPORT
A. CorVel Infrastructure Obligations. Subject to Customer’s compliance with the terms and conditions of
this License Agreement, CorVel shall be responsible for providing and maintaining the hardware, software and

SERIAL# 260106-RFP
other equipment required to host the CareMC Application for Customer (“CareMC Infrastructure”). The CareMC
Infrastructure is subject to modification by CorVel from time to time for purposes such as adding new functionality,
maximizing operating efficiency and upgrading hardware, provided such modifications shall not in the aggregate
degrade the performance of the Online Services utilized by Customer. Customer understands and acknowledges
that such modifications may require changes to Customer’s Internet access and/or telecommunications
infrastructure to maintain Customer’s desired level of performance. CorVel shall give Customer reasonable prior
written notice of any such modifications.
B. Customer Infrastructure Obligations. Except for the CareMC Infrastructure, which will be provided by
CorVel, Customer shall be responsible for obtaining and maintaining all hardware, software, equipment, Internet
access and/or telecommunications services and other items or services furnished by third party venders or providers
(“Third Party Providers”) required to enable Customer to access and use the CareMC Application and CareMC
Site as contemplated hereunder.
C. Support. CorVel will provide general support regarding questions on the CareMC Application and CareMC
Site via email and by telephone from Monday through Friday between the hours of 5:00 a.m. and 6:00 p.m. Pacific
Standard Time, excluding holidays.
D. Scheduled Maintenance. CorVel will use reasonable efforts to (i) perform any scheduled downtime outside
of Customer’s normal business hours, (ii) notify Customer of all scheduled downtimes at least seventy-two (72)
hours in advance, and (iii) perform software updates to the CareMC Application with minimal disruption to
Customer’s use of the Online Services.
E. System Monitoring. CorVel will use reasonable efforts to continuously monitor its web servers and
database servers to ensure that they are functioning properly.
F. Security. CorVel will implement and use reasonable efforts to maintain secure systems through the use
of firewalls, virtual private networks (VPN), and other security technologies. CorVel will maintain its policies,
procedures and processes as pursuant to applicable state and federal privacy laws.
4. REPRESENTATIONS AND WARRANTIES
A. Customer Representations. Customer represents that (i) it has the legal authority to provide the Customer
Data to CorVel hereunder, and (ii) it is fully aware and knowledgeable of and shall comply with its duties and
responsibilities with respect to the privacy and confidentiality of medical records and Personal Information as
defined under applicable federal and state laws, including but not limited to those imposed by applicable state and
federal privacy and security laws. Upon written notice to Customer, CorVel may modify or temporarily suspend
Customer’s access to and use of the CareMC Application, Online Services and/or CareMC Site as necessary to
comply with any law or regulation.
B. CorVel Warranties. CorVel warrants that (i) it shall use commercially reasonable professional practices
and good workmanship in providing the CareMC Application, and (ii) Customer support will be performed
consistent with generally accepted industry standards. These warranties extend only to Customer.
C. Exclusive Remedy. For any breach of the foregoing warranties, CorVel’s entire liability and
Customer’s exclusive remedy will be the correction of the problems or errors that cause the breach of
warranty, if feasible, or termination of the Agreement.
5. DISCLAIMERS AND LIMITATIONS OF LIABILITY
A. Disclaimers. TO THE EXTENT ALLOWED BY APPLICABLE LAW, EXCEPT FOR THE LIMITED
WARRANTIES DESCRIBED IN SECTION 4B ABOVE, CORVEL MAKES NO OTHER WARRANTIES,
EXPRESS, IMPLIED OR STATUTORY, AND EXPRESSLY DISCLAIMS ANY IMPLIED
WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, GOOD TITLE,
SATISFACTORY QUALITY AND NONINFRINGEMENT. CUSTOMER SPECIFICALLY
ACKNOWLEDGES AND AGREES AS FOLLOWS:
(i) Internet Usage. Customer acknowledges that the Internet is essentially an unregulated, insecure
and unreliable environment, and that the ability of Customer to access and use the CareMC Application is
dependent on the Internet and hardware, software and services provided by various Third Party Providers.
CORVEL SHALL NOT BE RESPONSIBLE FOR CUSTOMER’S INABILITY TO ACCESS OR USE THE
CAREMC APPLICATION TO THE EXTENT SOLELY CAUSED BY FAILURES OR INTERRUPTIONS
OF ANY HARDWARE, SOFTWARE OR SERVICES PROVIDED BY CUSTOMER OR THIRD PARTY
PROVIDERS.

SERIAL# 260106-RFP
(ii) CareMC Application. CUSTOMER ACKNOWLEDGES AND AGREES THAT CORVEL
DOES NOT WARRANT THAT THE CAREMC APPLICATION OR ONLINE SERVICES ARE ERROR
FREE, THAT CUSTOMER WILL BE ABLE TO ACCESS OR USE THE CAREMC APPLICATION OR
ONLINE SERVICES WITHOUT PROBLEMS OR INTERRUPTIONS, OR THAT THE CAREMC SITE
AND CAREMC APPLICATION ARE NOT SUSCEPTIBLE TO INTRUSION, ATTACK OR COMPUTER
VIRUS INFECTION.
B. Exclusion of Damages.
(i) Exclusion of Damages. NEITHER PARTY SHALL BE LIABLE TO THE OTHER PARTY FOR
ANY SPECIAL, INDIRECT, INCIDENTAL, EXEMPLARY, PUNITIVE OR CONSEQUENTIAL DAMAGES
(INCLUDING BUT NOT LIMITED TO LOST PROFITS OR LOST REVENUES) UNDER THIS LICENSE
AGREEMENT, WHETHER OR NOT FORESEEABLE AND REGARDLESS OF WHETHER CLAIMS
UNDER THIS LICENSE AGREEMENT ARE BROUGHT UNDER TORT, CONTRACT OR ANY OTHER
LEGAL OR EQUITABLE THEORY.
(ii) Acknowledgment. The parties acknowledge that the limitations and disclaimers set
forth in this License Agreement were an essential element in setting consideration under this
License Agreement.
6. INDEMNIFICATION AS PURSUANT TO 260106-RFP
7. INSURANCE AS PURSUANT TO 260106-RFP
8. TERM AND TERMINATION AS PURSUANT TO 260106-RFP
9. CONFIDENTIALITY AS PURSUANT TO 260106-RFP