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
Contract Overview
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AI Contract Overview
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
Agency
NAICS
Place of Performance
CA, USASet-Aside
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.
Draft - not Use, for parts
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Timeline
Submission Closed
Organization & Contact Information
Full Description
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