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This Government Contract opportunity from California was posted on August 11, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Clinical Pre-Payment Claim Review (PPCR)

Closed
State & Local

Contract Overview

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

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AI Contract Overview

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The California Department of Corrections & Rehabilitation is seeking a subcontractor for Clinical Pre-Payment Claim Review services. The primary objective of this contract is to perform clinical reviews of medical claims before payment is issued to ensure medical necessity and billing compliance, thereby preventing improper payments for inmate healthcare services. This opportunity is categorized under NAICS code 621399 and was posted on August 11, 2026. Interested parties must submit their responses by the deadline of August 25, 2026. Further details and application processes can be accessed through the Cal eProcure portal.

General Info

CDCR seeks subcontractor for clinical pre-payment claim reviews to ensure medical billing compliance.

Agency

California Department of Corrections & Rehabilitation

NAICS

621399 - Offices of All Other Miscellaneous Health Practitioners

Place of Performance

CA, USA

Set-Aside

NONE

Documents

This scope was carved out of SD25-00049.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

IFB #SD25-00049 - Pre-Payment Claim Review (PPCR) and Post Payment Audit and Recovery Services (PPAR)

AI Contract Breakdown

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyCalifornia Department of Corrections & Rehabilitation
ContactsNo contacts available
OfficeN/A
Organization / AgencyCalifornia Department of Corrections & Rehabilitation
Office AddressN/A
ContactsNo contact information available

Full Description

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Conduct clinical review of medical claims prior to payment to ensure medical necessity, billing compliance, and prevent improper payments for inmate healthcare services.

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