This Government Contract opportunity from South Carolina was posted on August 25, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Behavioral Health Claims Adjudication and Payment Services

Closed

State & Local

Submission Closed09/22/2026, 03:00:00 PM UTC

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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POSTED

2 days ago

DEADLINE

in 19 days

AI Contract Overview

The Behavioral Health Claims Adjudication and Payment Services subcontract for the South Carolina Public Employee Benefit Authority involves the processing of behavioral health claims and the management of payments for prime contractors. The scope of work includes managing reimbursement methodologies for inpatient, transitional, and ambulatory services through the use of electronic data interchange and claims adjudication systems. The service provider is responsible for performing cost containment activities and invoicing on a fee-for-service basis while ensuring full compliance with HIPAA regulations. Key deliverables include the accurate payment of claims and the production of financial reports regarding covered charges. The solicitation is listed under NAICS code 541219 with a response deadline of September 22, 2026.

General Info

Behavioral health claims processing and payment services for South Carolina Public Employee Benefit Authority.

Agency

South Carolina → Sc Public Employee Benefit Authority (peba)

NAICS

541219 - Other Accounting Services

Place of Performance

SC, USA

Set-Aside

NONE

Documents

This scope was carved out of PEBA0472026.

The full solicitation package (26 documents), including the RFP, is on the prime solicitation, not on this scope.

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Timeline

PhaseClosed

PostedAug 25

subcontract

Response DeadlineSep 22

Deadline has passed

Submission Closed

09/22/2026, 03:00:00 PM UTC

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Organization & Contact Information

AgencySouth Carolina → Sc Public Employee Benefit Authority (peba)

ContactsNo contacts available

OfficeN/A

Organization / AgencySouth Carolina → Sc Public Employee Benefit Authority (peba)

Office AddressN/A

ContactsNo contact information available

Full Description

Processes behavioral health claims and manages payments for prime contractors on PEBA behavioral health projects. Manages reimbursement methodologies for inpatient, transitional, and ambulatory services using claims adjudication systems and EDI for healthcare. Performs cost containment activities and invoicing on a fee-for-service basis in compliance with HIPAA. Delivers accurate payment of claims and financial reports on covered charges.