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Claims Processing and Payment Services

Active

State & Local

Response Deadline01/14/2027, 08:00:00 AM 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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This subcontract for Claims Processing and Payment Services supports prime contractors on Washington State Health Care Authority health plan projects. The selected provider will manage the adjudication and payment of healthcare claims, utilizing electronic processing and HIPAA-compliant financial platforms to ensure payment accuracy based on specific plan benefits. Key deliverables include the delivery of processed claims and detailed payment reports. The contractor must adhere to strict regulatory and security frameworks, including HIPAA, the HITECH Act, and WaTech IT Security standards. Performance will take place across multiple counties. Interested parties should note the response deadline of January 14, 2027, for this opportunity categorized under NAICS code 524210.

General Info

Subcontract for Washington State healthcare claims processing and payment services due January 14, 2027.

Agency

Washington → Health Care Authority

NAICS

524210 - Insurance Agencies and Brokerages

Place of Performance

Multiple Counties, WA, USA

Set-Aside

NONE

Documents

This scope was carved out of 2025HCA5.

The full solicitation package (18 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Fully-Insured Medical Plans

AI Contract Breakdown

Uniform Contract Format

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

Timeline

PostedOct 12

subcontract

Response DeadlineJan 14

Submission deadline

Response Deadline

01/14/2027, 08:00:00 AM UTCin 3 months

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Organization & Contact Information

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AgencyWashington → Health Care Authority

ContactsNo contacts available

OfficeN/A

Organization / AgencyWashington → Health Care Authority

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs adjudication and payment of healthcare claims for prime contractors on Washington State Health Care Authority (HCA) health plan projects. Operates a claims payment service, processes claims electronically, and ensures payment accuracy according to plan benefits. Utilizes HIPAA-compliant financial transaction platforms and electronic claims payment systems. Complies with HIPAA, HITECH Act, and WaTech IT Security standards. Delivers processed claims and payment reports.

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