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This Government Contract opportunity from California was posted on May 21, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Claims Adjudication and Payment Processing

Closed
State & Local

Contract Overview

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The contract involves comprehensive claims adjudication and payment processing services for medical providers. Key responsibilities include processing medical claims, verifying patient eligibility and medical necessity, calculating appropriate payments, issuing payments along with Explanation of Benefits (EOBs), and ensuring adherence to timely payment cycles. The contract also requires the ability to handle surge capacity, supporting fluctuations in workload to maintain consistent service levels. This subcontract is associated with the Health Services agency of California and falls under the NAICS code 561499, indicating business support services. Although specific location details and contact points are not provided, the response deadline for proposals is set for May 28, 2026. The contract aims to support efficient and accurate claims processing to facilitate smooth payment operations in the healthcare sector.

General Info

Claims adjudication and payment processing for medical providers, ensuring timely, accurate payments and surge capacity.

Agency

California → Health ServicesView Agency

NAICS

561499 - All Other Business Support ServicesView NAICS

Place of Performance

CA, USA

Set-Aside

NONE

Documents

This scope was carved out of Test1.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

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Draft - not Use, for parts

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyCalifornia → Health Services
ContactsNo contacts available
OfficeN/A
Organization / Agency
California → Health Services
View Agency Profile
Office AddressN/A
ContactsNo contact information available

Full Description

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Process medical claims from providers, verify eligibility and medical necessity, calculate payments, issue payments and EOBs, and maintain timely payment cycles with surge capacity support.

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Same awarding agency

NAICS: 621112
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POSTED

about 2 months ago

DEADLINE

in almost 2 years
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