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This Solicitation opportunity from Department Of Veterans Affairs was posted on September 10, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Amendment 0003- Request for Proposals for Conducting Recovery Audit Services for the VHA Office of Finance, Department of Veterans Affairs (VA)

Closed
36C10X25R0021_0003Federal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 541219
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SD State Employee Health Plan Medical Claims Audit
Solicitation # 26RFP19878
The South Dakota Bureau of Human Resources and Administration is soliciting proposals under RFP#26RFP19878 to procure a vendor to conduct performance reviews and medical claims audits of Wellmark Blue Cross Blue Shield of South Dakota. Wellmark administers the State Employee Health Plans, which serve approximately 12,150 participants and their dependents across four plan options. For Fiscal Year 2026, these plans incurred approximately 160 million dollars in total costs, including 108 million dollars in medical claims. The selected auditor will be responsible for three distinct 12-month audit periods spanning Fiscal Years 2028 through 2030. The scope of work requires the auditor to verify Wellmark's procedures, controls, and negotiated network provider rates while measuring quality performance against claim processing and assessing the accuracy of claims data and self-reported performance guarantees. All audits must comply with GAGAS standards and HIPAA guidelines, and the vendor must execute a Non-Disclosure Agreement with Wellmark and a Business Associate Agreement with the State. Proposals are due by October 23, 2026, and will be evaluated on a 1,000-point scale using subjective judgment regarding technical requirements and organizational experience. Awardees must maintain commercial general liability insurance of at least 1 million dollars per occurrence.
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NAICS: 541219
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I-5 Rose Quarter Improvements CM/GC Contract Construction Cost Verification and Audit Services
Solicitation # S-73000-00015373
Solicitation S-73000-00015373 is a project-specific contract for personal services issued by the Oregon Department of Transportation to obtain construction cost verification and audit services for the I-5 Rose Quarter Improvements CM/GC Contract. The primary objective is to perform audit and verification services to validate actual costs associated with the project, with a key deliverable being the Final Verification Report for Phase 1A. The anticipated period of performance for these services is from July 2025 through July 31, 2027, with construction notice to proceed expected in summer 2027. The award process is based on a ranking system combining technical scores and price evaluation, where the lowest total labor cost for primary staff receives the maximum 15 points. Selected contractors must provide key personnel with specific qualifications and are prohibited from reassigning these individuals without written agency consent. Compliance requirements include adherence to federal laws, Oregon state statutes regarding non-discrimination and workplace policies, and the payment of the higher of federal Davis-Bacon or state BOLI wage rates. Payment is processed via ACH within 45 calendar days of receiving a compliant invoice. Deliverables are subject to agency acceptance within 15 business days of submission and must be provided in both native and PDF formats.
Procurement

POSTED

about 18 hours ago

DEADLINE

in 28 days

General Info

NAICS

541219 - Other Accounting Services

Place of Performance

Frederick, MD, 21703, USA

Set-Aside

NONE

Documents

3

Amendment 0003 to Solicitation 36C10X25R0021

PDF, High priority: read this firstamendment
High

Solicitation 36C10X25R0021 - Recovery Audits Services

PDF, High priority: read this firstrfp
High

D.1+SUBCONTRACTING+PLAN.docx

DOCX

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Timeline

2 updates
PhaseClosed
Posted

Solicitation

Notice updated

The notice description changed.

Notice updated

The notice description changed.

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Veterans Affairs → Sac Frederick (36C10X)
Contacts2 people available
OfficeFREDERICK, MD, 21703, USA
Office AddressFREDERICK, MD, 21703, USA

Full Description

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The purpose of this amendment is to amend Section B.2 PRICE/COST SCHEDULE to include three Sub-Line Item Numbers (SLINs) for three distinct tiers of claims volume. Additionally, Section E.1 will detail the volume-based pricing requirements. Offerors must provide a Unit Price percentage for each tier based on the estimated volume of claims they expect to handle. The tiers are as follows: Less than 10,000,000 claims annually 10,000,001 to 25,000,000 claims annually More than 25,000,000 claims annually This amendment ensures that pricing is adjusted according to the volume of claims managed, thereby promoting more accurate and fair pricing structures. The revised B.2 PRICE/COST SCHEDULE shall reflect these tiered pricing requirements. The Government will evaluate the proposed prices to determine whether they are considered fair and reasonable. The Government will utilize price analysis techniques as prescribed in FAR 15.404-1(b) to evaluate price reasonableness. This may include the use of competition, historical prices, market research, or other resources necessary to ensure proposed prices are reasonable. Amendment 3 also includes the updated Attachment D.1 Subcontracting Plan. The percentage of the contractor's recovered column has been updated from ($ ) to (). The proposal due date has been extended to September 11, 2025, at 12:00 PM EDT.

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Solicitation # 36C10X27R0004_1
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