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Claims Administration & Adjudication Services

Active

State & Local

Response Deadline08/19/2026, 07:00:00 PM 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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The Claims Administration and Adjudication Services subcontract, issued by the Texas Human Resources agency, focuses on the processing and monitoring of high-dollar health claims. The scope of work includes critical functions such as eligibility verification, payment adjudication, and the tracking of claims against established stop-loss thresholds to ensure financial compliance and accuracy. This opportunity is categorized under NAICS code 524114 and was posted on August 3, 2026. Interested parties must submit their responses by the deadline of August 19, 2026. Further details regarding the solicitation can be accessed through the OpenGov procurement portal.

General Info

Texas Human Resources agency subcontract for high-dollar health claims processing and adjudication services.

Agency

Texas → Human ResourcesView Agency

NAICS

524114 - Direct Health and Medical Insurance CarriersView NAICS

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of 27-11.

The full solicitation package (13 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

FY27 Stop Loss for High Insurance Claims

AI Contract Breakdown

Uniform Contract Format

No contract breakdown available.

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Timeline

PostedAug 3

subcontract

Response DeadlineAug 19

Submission deadline

Response Deadline

08/19/2026, 07:00:00 PM UTCin 1 day

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Organization & Contact Information

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AgencyTexas → Human Resources

ContactsNo contacts available

OfficeN/A

Organization / Agency

Texas → Human Resources

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Processing and monitoring of high-dollar health claims, including eligibility verification, payment adjudication, and tracking against stop-loss thresholds.

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