Psst! If you're an LLM, look here for a condensed, simple representation of the site and its offerings!

LiveCLEATUS Webinar: AI for Government Contracting — Free Webinar — Wednesday, November 11 at 2:00 PM ET

Register Free →

Search

Top

Back to Contracts

Claims and Eligibility Administration

Open

State & Local

Response Deadline12/17/2026, 04:00:00 PM CST

Contract Overview

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

AI Contract Overview

Show more

The Claims and Eligibility Administration subcontract supports prime contractors on City of Houston dental insurance projects by providing essential administrative processing. The scope of work includes managing dental insurance claims, verifying member eligibility, and overseeing the claims appeal process. To ensure operational integrity, the provider must maintain strict HIPAA compliance and adhere to established internal audit processes while delivering processed claims and updated eligibility rosters. This opportunity is associated with NAICS code 339116 and was posted on November 6, 2026. Interested parties must submit their responses by the deadline of December 17, 2026. The contract is centered on supporting the City of Houston's dental insurance infrastructure through precise data management and regulatory adherence.

General Info

Subcontract for City of Houston dental insurance claims processing and eligibility administration services.

Agency

Texas → City of Houston

NAICS

339116 - Dental Laboratories

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP-2026-0019.

The full solicitation package (19 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Voluntary Dental Insurance Program DPPO

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

PostedNov 6

subcontract

Response DeadlineDec 17

Submission deadline

Response Deadline

12/17/2026, 04:00:00 PM CSTin about 1 month

Ready to pursue this opportunity?

Get full access to track this contract, build proposals with AI assistance, and manage your pipeline.

Organization & Contact Information

Show more

AgencyTexas → City of Houston

ContactsNo contacts available

OfficeN/A

Organization / AgencyTexas → City of Houston

Office AddressN/A

ContactsNo contact information available

Full Description

Show more

Performs administrative processing of dental insurance claims and member eligibility verification for prime contractors on City of Houston dental insurance projects. Manages claims administration, eligibility verification, and the claims appeal process. Maintains HIPAA compliance and adheres to internal audit processes. Delivers processed claims and updated eligibility rosters.

Similar Contracts

Same NAICS industry code

Dental Insurance Network ManagementThis subcontract for the City of Houston focuses on Dental Insurance Network Management, specifically the administration and maintenance of provider networks for DHMO and DPPO plans. The selected contractor is responsible for recruiting and credentialing dental providers while ensuring that all geographic access standards are strictly met. Additionally, the scope of work includes managing network disruption procedures and maintaining detailed, comprehensive lists of all eligible dental providers. The primary objective of the agreement is to deliver a fully functional and credentialed network of dental providers that aligns with the city's established access requirements. Interested parties should note that the response deadline for this opportunity is December 17, 2026.

City of Houston

POSTED

about 4 hours ago

DEADLINE

in about 1 month

Dental Laboratory Fabrication ServicesThis subcontract for Dental Laboratory Fabrication Services supports prime contractors on Indian Health Services projects within the Bemidji Sub-Area. The scope of work involves the manufacture, repair, adjustment, and remaking of various dental prosthetic appliances, including gold crowns, PFM crowns, partial frameworks, and complete or immediate dentures. All fabrication must adhere to ANSI/ADA specifications and NADL practices. The service provider must operate within an FDA-regulated laboratory that maintains strict compliance with HIPAA standards and OSHA Bloodborne Pathogens regulations. This opportunity is designated as a Buy Indian Set-Aside under NAICS code 339116, with performance taking place in Bemidji, Minnesota.

Bemidji Sub-Area

POSTED

DEADLINE

Dental Laboratory Services for the Red Lake and Cass Lake Service Units

Solicitation # 75H70527R00002

The Department of Health and Human Services, Bemidji Sub-Area, is seeking sources for dental laboratory services to support the Red Lake and Cass Lake Service Units. This is a 100% Buy Indian Set-Aside specifically for Indian Economic Enterprises, requiring submission of the IHS Indian Economic Enterprise Representation form and SAM registration. The contract is structured as a base year from December 1, 2026, to November 30, 2027, with four subsequent one-year option periods. The selected contractor will provide all labor, materials, and technical expertise to manufacture, repair, adjust, and remake high-quality dental prosthetic appliances, including crowns, dentures, and partials, within an off-site FDA-regulated laboratory located in the USA. Key performance requirements include an on-time delivery rate of at least 95%, a laboratory error remake rate of less than 2%, and 100% compliance with HIPAA and documentation standards. Contractors must adhere to ANSI/ADA specifications and OSHA Bloodborne Pathogens Standards. Specific material requirements include the use of FDA-approved materials free of nickel, lead, and beryllium, with mandatory certification stickers for gold crowns, PFM crowns, and partial frameworks. Deliverables must be shipped in plastic lab case shipping boxes via trackable methods. Bidders must provide detailed material brands, flexural strength documentation for tooth-colored crowns, and comprehensive warranty information. Billing is conducted via detailed itemized monthly statements due by the 15th of each month.

Bemidji Sub-Area

POSTED

DEADLINE

Framework agreement for the provision of Dental Lab Services

Solicitation # C463120

University College London Hospitals NHS FT is establishing an open framework agreement for the provision of Dental Lab Services under a competitive flexible procedure. The framework is divided into four specialized lots: Fixed Prosthodontics, Removable Prosthodontics, Orthodontics, and Restorative Dentistry. The total estimated value of the procurement is 3,332,250 GBP excluding VAT, with each lot estimated at 833,062.50 GBP excluding VAT. The contract is scheduled for an initial three-year duration, running from June 15, 2027, to June 14, 2030. The award is limited to a maximum of five suppliers per lot, with evaluation criteria weighted at 80% for quality, which includes service delivery, staffing, standards, reporting, and social value, and 20% for price. Work will be allocated using a matrix that considers pre-set commercial evaluations and dynamic assessments of a provider's current capacity. Interested bidders must submit their proposals in English via the Atamis e-Tendering Portal by the deadline of December 4, 2026, at 1:00pm. All communications regarding the solicitation must be conducted through the portal's messaging board.

University College London Hospitals NHS FT

POSTED

DEADLINE

Dental Laboratory ServicesThe contract pertains to the provision of dental laboratory services and is issued by the Federal Prison System under the Department of Justice. It is identified as a forecast opportunity posted on May 25, 2026, and is open to all businesses without any set-aside restrictions. The solicitation falls under the NAICS code 339116, which covers dental laboratories. The services described will be performed on a nationwide basis, indicating the broad scope and reach of this contract across multiple locations. Key contacts for this contracting opportunity include Calvin Price, serving as the point of contact, and a designated Small Business Program representative who can assist with specialized inquiries. The contract promises potential engagement with the Bureau of Prisons for dental laboratory needs, which likely involve the production and repair of dental appliances and related services to support inmate healthcare. The opportunity is publicly accessible via the Department of Justice’s contracting forecast website.

Federal Prison System / Bureau Of Prisons

POSTED

DEADLINE

Vehicle Recompete: DENTAL LABORATORY SERVICE — INDEFINITE DELIVERY / DEFINITE QUANTITY 36C26223Q0054This Indefinite Delivery / Definite Quantity contract, managed by the Department of Veterans Affairs, provides dental laboratory services and fabrication. The vehicle, associated with solicitation 36C26223Q0054, has an ordering period that extends through September 30, 2027. There are currently six active task orders with a combined total value of 677,413.21 dollars, supporting facilities such as the VA San Diego and VA Loma Linda. Two companies hold awards under this vehicle: Keating Dental Arts, Inc., which manages six orders totaling 601,010.02 dollars, and Burbank Dental Laboratory, Inc., which holds one order valued at 201,403.19 dollars. The contract is classified as likely to be recompeted, with a medium confidence level. Key activities include ongoing option periods for laboratory services and fabrication extending into 2026.

Department of Veterans Affairs

POSTED

DEADLINE

Repair and Reline Services for Existing DenturesThis subcontract, issued by the Department of Veterans Affairs through Network Contracting Office 6, focuses on providing repair and reline services for existing patient dentures. The primary scope of work involves performing fracture fixes and tissue surface adjustments to ensure that dentures are restored to proper function and fit for patients. The opportunity is designated as a Service-Disabled Veteran-Owned Small Business set-aside under NAICS code 339116. It was posted on December 1, 2025, and is managed by the 246-NETWORK Contracting Office.

246-NETWORK Contracting Office 6 (36C246)

POSTED

DEADLINE

Dental Models and Custom Tray ProductionThis subcontract, titled Dental Models and Custom Tray Production, is issued by the Department of Veterans Affairs through the Network Contracting Office 6. The scope of work involves the creation of custom impression trays and both diagnostic and working dental models, which are to be produced using either digital scans or physical impressions. The opportunity is designated as a Service-Disabled Veteran-Owned Small Business set-aside under NAICS code 339116. It was posted on December 1, 2025, and is managed by the 246-NETWORK Contracting Office.

246-NETWORK Contracting Office 6 (36C246)

POSTED

DEADLINE

Crown and Bridge Fabrication ServicesThe Department of Veterans Affairs, through Network Contracting Office 6, is seeking a subcontractor for Crown and Bridge Fabrication Services. This contract focuses on the production of individual crowns and fixed bridges utilizing gold, noble metals, or other approved dental alloys. The primary objective is to ensure high standards of precision fit, proper occlusion, and overall aesthetics for the dental prosthetics provided. This opportunity is specifically designated as a Service-Disabled Veteran-Owned Small Business set-aside under NAICS code 339116. The solicitation was posted on December 1, 2025, and is managed by the 246-NETWORK Contracting Office.

246-NETWORK Contracting Office 6 (36C246)

POSTED

DEADLINE

Complete and Partial Denture FabricationThis subcontract, issued by the Department of Veterans Affairs Network Contracting Office 6, focuses on the design, fabrication, and delivery of various dental prosthetics. The scope of work includes the production of full and partial removable dentures, specifically covering acrylic, cast metal, and hybrid types. The comprehensive service requirement encompasses the entire clinical process, including necessary try-ins, adjustments, and the final delivery of the appliances. The opportunity is designated as a Service-Disabled Veteran-Owned Small Business set-aside under NAICS code 339116. Posted on December 1, 2025, the contract ensures that veterans receive specialized prosthetic dental care through qualified small business partners.

246-NETWORK Contracting Office 6 (36C246)

POSTED

DEADLINE

Custom Dental Crown and Bridge FabricationThis contract entails the design, modeling, and manufacturing of fixed dental prosthetics including crowns, bridges, inlays, onlays, and abutments. These dental appliances are to be fabricated based on digital or physical dental impressions provided by VA dental clinics. The work supports the Department of Veterans Affairs and is designated as a Service-Disabled Veteran-Owned Small Business Set Aside, ensuring participation of businesses owned by service-disabled veterans. The subcontract falls under NAICS code 339116, which covers dental laboratories and related manufacturing. The contract is managed by the 246-NETWORK Contracting Office 6, part of the Department of Veterans Affairs. Although specific location details for performance and points of contact are not provided, the contract was publicly posted on December 1, 2025, and can be accessed through the SAM.gov portal. This engagement emphasizes high-quality, custom dental restorations tailored to meet the needs of veterans receiving dental care through VA facilities.

246-NETWORK Contracting Office 6 (36C246)

POSTED

DEADLINE

More opportunities from Texas → City of Houston

Same awarding agency

Specialized Dental IT ServicesThis subcontract for Specialized Dental IT Services supports the City of Houston by providing and managing the technical infrastructure necessary for dental services and data reporting. The selected provider will be responsible for implementing tele-dentistry platforms, managing data warehouse reporting, and ensuring the maintenance of robust disaster recovery and business continuity plans. A primary requirement for this engagement is demonstrated technical competence in the secure transmission of sensitive health data. The scope of work focuses on the delivery of functional tele-dentistry interfaces and comprehensive data reports to assist prime contractors. Interested parties must submit their responses by December 17, 2026, in accordance with the solicitation posted on November 6, 2026. The project falls under NAICS code 541511, emphasizing the need for specialized custom computer programming services to maintain the integrity and efficiency of the city's dental insurance projects.

Custom Computer Programming Services

POSTED

about 4 hours ago

DEADLINE

in about 1 month

Member Services and Call Center OperationsThis subcontract for Member Services and Call Center Operations supports prime contractors managing dental insurance projects for the City of Houston. The selected provider will be responsible for operating call centers and managing high-volume member inquiries to ensure effective customer support and communication. Key deliverables include the distribution of standardized member communication packages and the overall delivery of member support services. Interested parties should note the response deadline of December 17, 2026, for this opportunity categorized under NAICS code 621210.

Offices of Dentists

POSTED

about 4 hours ago

DEADLINE

in about 1 month

Voluntary Dental Insurance Program DPPO

Solicitation # RFP-2026-0019

The City of Houston is soliciting proposals for a qualified Dental Plan Administrator to manage voluntary dental insurance programs for employees, non-Medicare eligible retirees, and their dependents. The primary objective is to improve dental health outcomes, enhance member experience, and increase administrative efficiency through the provision of fully insured DHMO and DPPO dental plans. The contract features an initial three-year term with two optional one-year renewals, capping the total duration at five years. The selected administrator will be responsible for plan administration, claims processing, member services, and the implementation of cost-containment strategies, with a requirement that all member communications and materials be provided in both English and Spanish. Award selection is based on a 105-point evaluation system, prioritizing technical competence (75 points) and cost (25 points), with additional local preference points available through the Hire Houston First Program. Key technical requirements include experience with large public sector employers, the qualifications of the implementation team, and the ability to meet strict performance guarantees, such as the delivery of ID cards within five to ten business days. The contract mandates strict adherence to HIPAA administrative simplification rules, the City's security compliance standards for protected data, and the Equal Employment Opportunity Ordinance. Proposers must submit a comprehensive tabbed proposal including a cost proposal, network access reports, and a WSBE participation plan.

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

POSTED

about 4 hours ago

DEADLINE

in about 1 month

Mercedes-Benz S600 Replacement Parts SupplierThis subcontract agreement establishes a partnership to provide genuine or industry-standard equivalent replacement parts for 2016 Mercedes Benz S600 vehicles used in City of Houston projects. The scope of work includes the sourcing and delivery of specific components, including tension struts, spring links, suspension struts, lower engine covers, and Blue ATF Fluid 236.15. The supplier is responsible for delivering all itemized parts directly to the designated repair facility under FOB destination terms. This procurement effort falls under NAICS code 423810 and supports prime contractors tasked with vehicle maintenance for the City of Houston.

Construction and Mining (except Oil Well) Machinery and Equipment Merchant Wholesalers

POSTED

about 21 hours ago

DEADLINE

Transmission Service and Underbody Panel RepairThis subcontract involves providing specialized transmission maintenance for a 2016 Mercedes Benz S600 as part of City of Houston vehicle projects. The scope of work requires the replacement of transmission oil filters, seals, and rings utilizing hydraulic oil and Blue ATF Fluid 236.15, as well as the installation of the lower engine compartment cover. The final deliverables include a fully serviced transmission and a properly installed underbody panel. This project falls under NAICS code 811111 and is managed through the City of Houston in Texas, with a response deadline set for November 12, 2026.

General Automotive Repair

POSTED

about 21 hours ago

DEADLINE

Four-Wheel Alignment ServiceThis subcontract opportunity involves providing precision four-wheel alignment services for a 2016 Mercedes Benz S600 as part of City of Houston vehicle projects. The selected provider will work under prime contractors, utilizing professional alignment machinery to ensure the vehicle meets exact manufacturer specifications for improved stability and tire longevity. The solicitation was posted on November 5, 2026, with a response deadline of November 12, 2026. Classified under NAICS code 811111, the project is managed through the City of Houston in Texas and requires the final delivery of a vehicle fully aligned to factory standards.

General Automotive Repair

POSTED

about 21 hours ago

DEADLINE

Mercedes-Benz Suspension and Engine Maintenance ServicesThis subcontract involves providing specialized mechanical repairs for a 2016 Mercedes Benz S600 as part of a City of Houston vehicle project. The scope of work includes the removal and installation of front suspension tension struts and spring links, the installation of remanufactured suspension struts, and the replacement of the engine air filter. The objective is to deliver a fully repaired and tested vehicle suspension and engine air filtration system. The contractor is required to provide a one-year unlimited warranty covering all defects and workmanship. This opportunity falls under NAICS code 811111 and was posted on November 5, 2026, with a response deadline of November 12, 2026.

General Automotive Repair

POSTED

about 21 hours ago

DEADLINE

Repair of Unit 54770 2016 Mercedes Benz S600

Solicitation # INF-2026-0459

The City of Houston is soliciting bids for the repair of unit 54770, a 2016 Mercedes Benz S600. The required scope of work includes replacing the front suspension components and engine air filter, performing a four-wheel alignment, conducting transmission maintenance service, and replacing the panel below the transmission. The selected vendor must provide all necessary labor, parts, shop supplies, freight, and waste disposal fees. To ensure serviceability, the vendor must be located within Harris County for vehicle delivery or provide a mobile mechanic to perform repairs on-site. All work must be completed within thirty calendar days from the notice to proceed and performed during normal business hours. The contract will be awarded to a responsive and responsible bidder based on the overall low net bid, though the City reserves the right to award based on individual items or the overall best bid. Local businesses designated under the Hire Houston First Program may receive preference if their bid is the lowest responsible bid or within 5 percent of it. The contractor must provide a minimum one-year unlimited warranty on all materials and workmanship from the date of full acceptance. Additionally, the vendor must comply with City of Houston insurance requirements and provide necessary certificates, endorsements, and drug policy forms within three days of a request. Payment is due thirty days after the City approves the invoice or accepts the services.

General Automotive Repair

POSTED

about 21 hours ago

DEADLINE

Specialized Chemical Transport and Delivery ServicesThis subcontract for Specialized Chemical Transport and Delivery Services involves the hauling of 275-gallon totes of waterborne traffic paint for prime contractors working on City of Houston municipal projects. The scope of work includes the loading, hauling, and offloading of these large-capacity liquid totes to specific destination points as outlined in Purchase Orders, operating under FOB Destination terms. To ensure the safe transport of chemical coatings, the contractor must utilize flatbed or specialized trucking equipment. The primary objective is the secure delivery and confirmation of paint totes to the designated sites. This opportunity falls under NAICS code 484220 and is associated with the City of Houston in Texas.

Specialized Freight (except Used Goods) Trucking, Local

POSTED

DEADLINE

Sherwin Williams SHER-FLIGHT® Waterborne Traffic Paint SupplierThis subcontract agreement establishes Sherwin Williams as the supplier of SHER-FLIGHT waterborne traffic paint for prime contractors working on City of Houston municipal projects. The contract specifically requires the provision of TM2248 White paint, which must conform to Federal Specifications TT-P-1952D types I and II as well as TT-P-1952D/E/F types I and II. To ensure safety and environmental compliance, the product must adhere to all applicable VOC regulations and carry non-lead pigment certifications. The material is to be supplied and delivered in 275-gallon totes to meet project requirements. This procurement falls under NAICS code 325510 and is managed through the City of Houston in Texas.

Paint and Coating Manufacturing

POSTED

DEADLINE

Traffic Paint and Pavement Marking in 275 Gal. Totes White TM2248

Solicitation # INF-2026-0458

The City of Houston is soliciting bids for the procurement of white traffic paint and pavement marking, specifically requiring Sherwin Williams Brand TM2248. The paint must be delivered in 275-gallon totes and is intended for industrial airport use, including long line striping for airfields, highways, and parking lots. The product must be a fast-drying waterborne paint formulated with non-lead pigments that conforms to current VOC regulations and Federal Specifications TT-P-1952D and TT-P-1952D/E/F types I and II. Technical requirements specify an application rate of 14-16 mils wet film thickness and a drying time of 10 minutes or less. The contract will be awarded to a responsive and responsible bidder based on the overall low net bid, though the City reserves the right to award by individual or combined items. Bidders must hold their pricing for at least 90 days and deliver items FOB destination as specified in individual purchase orders. Payment is due 30 days after invoice approval or acceptance of goods. Submission requirements include a signed official signature page and certifications regarding equal opportunity employment, anti-collusion, and compliance with various Texas Government Code anti-boycott laws. Preference may be given to designated City or Local Businesses under the Hire Houston First Program.

Paint and Coating Manufacturing

POSTED

DEADLINE

Ready to Pursue This Opportunity?

Get AI-powered intelligence on this solicitation and the ones like it

Every page of the solicitation package shredded into a compliance breakdown

AI-powered matching based on your capabilities and past performance

Competitor and incumbent history on the requirement

Automated alerts on amendments, Q&A deadlines, and award

Join 750+ contractors already using CLEATUS