Claims Recovery and Third-Party Liability Investigation Services
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The contract seeks a subcontractor to perform investigations aimed at identifying and recovering payments from third-party insurers for healthcare costs paid by state programs. This includes tracing insurance coverage, verifying liability of third-party payers, and executing the recovery of claims to ensure state funds are properly reimbursed. Activities will involve detailed administrative and legal processes to pinpoint responsible insurers, confirm their obligation to pay, and pursue collection on eligible claims arising from medical services provided under state-funded programs. Performance is expected to be centered in Boston, Massachusetts, with all work tied to the state’s efforts to recover funds from private insurers, workers’ compensation carriers, and other liable entities. The contract falls under NAICS code 541611, indicating it involves administrative management and general management consulting services related to claims recovery operations. The solicitation was posted on October 27, 2025, with responses due by September 17, 2026, and is structured as a subcontract under the Massachusetts EHS01 agency, requiring the contractor to support the state’s financial integrity and cost containment objectives in healthcare spending.
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Fl Boston, MA, 02108, USSet-Aside
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