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Claim Re-pricing Specialist

Open

State & Local

Response Deadline12/21/2026, 06:00:00 AM UTC

Contract Overview

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

AI Contract Overview

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This subcontract for a Claim Re-pricing Specialist supports the University of Arkansas System medical plan projects by auditing and re-pricing medical claims for services provided outside established provider networks. The selected provider will utilize claims adjudication software and medical pricing databases to analyze out-of-network claims, apply fair market value benchmarks, and negotiate settlement terms. The scope of work requires strict adherence to HIPAA compliance and No Surprise billing legislation to ensure legal and regulatory standards are met. The primary deliverable for this engagement is the production of detailed re-priced claims reports.

General Info

Subcontract for auditing and re-pricing out-of-network medical claims for University of Arkansas System.

Agency

University of Arkansas System (USYS)

NAICS

541219 - Other Accounting Services

Place of Performance

Not specified

Set-Aside

NONE

Documents

This scope was carved out of 261111.

The full solicitation package (5 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

University of Arkansas System Medical Plan Services

AI Contract Breakdown

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Timeline

PostedDec 21

subcontract

Response DeadlineDec 21

Submission deadline

Response Deadline

12/21/2026, 06:00:00 AM UTCin about 1 month

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Organization & Contact Information

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AgencyUniversity of Arkansas System (USYS)

ContactsNo contacts available

OfficeN/A

Organization / AgencyUniversity of Arkansas System (USYS)

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs auditing and re-pricing of medical claims outside established provider networks for prime contractors on University of Arkansas System medical plan projects. Analyzes out-of-network claims, applies fair market value benchmarks, and negotiates settlement terms using claims adjudication software and medical pricing databases. Requires HIPAA compliance and adherence to No Surprise billing legislation. Delivers re-priced claims reports.

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