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Claims Data Analytics and Auditing

Active
State & Local

Contract Overview

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

General Info

Agency

Alabama → Procurement Department of Birmingham-Jefferson County Transit AuthorityView Agency

NAICS

541690 - Other Scientific and Technical Consulting ServicesView NAICS

Place of Performance

AL, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP No. 2026-06.

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

View the prime solicitation

BENEFITS BROKER & CONSULTANT SERVICES

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Timeline

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Organization & Contact Information

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AgencyAlabama → Procurement Department of Birmingham-Jefferson County Transit Authority
ContactsNo contacts available
OfficeN/A
Organization / Agency
Alabama → Procurement Department of Birmingham-Jefferson County Transit Authority
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Office AddressN/A
ContactsNo contact information available

Full Description

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Performs auditing of insurance claims and provides data-driven insights for prime contractors on FTA-funded state program projects. Audits claims to ensure accuracy of carrier payments, performs utilization analysis, and benchmarks claims data against industry standards using claims auditing software and analytics tools. Requires HIPAA compliance. Delivers claims audit reports and benchmarking analysis.

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The Birmingham-Jefferson County Transit Authority (BJCTA) is soliciting proposals under RFP No. 2026-02-Rebid for a comprehensive ADA Eligibility Assessment and System Review. The objective of this engagement is to evaluate the current ADA paratransit eligibility determination process and supporting systems, including a review of software such as Mobility Direct and Spare, to identify deficiencies and provide actionable recommendations for improving compliance, efficiency, and data integrity. Key deliverables include a Current State Assessment Report, a Technology and Security Evaluation Memorandum, a Compliance Risk Summary, a Comparative Methodology Matrix, and a Final Comprehensive Report with an implementation roadmap and executive presentation. Proposals are due by September 11, 2026, via the PlanetBids portal and must not exceed 100 pages. Award decisions will be based on a weighted evaluation of overall qualifications (30%), project organization and staffing (25%), project understanding and work plan (15%), cost proposal (15%), and references (15%). The contract requires adherence to 49 CFR Parts 37 and 38, HIPAA, and Alabama state laws. Selected contractors must be authorized to do business in Alabama, maintain a valid UEI number via SAM.gov, and comply with federal requirements including the Davis-Bacon Act and Buy America preferences. Payment is structured on a net 30-day basis following the approval of invoices aligned with 30-day milestone deliverables.
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