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Clinical Pre-Payment Claim Review (PPCR)

Active

State & Local

Response Deadline08/25/2026, 11:00:00 PM 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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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 & RehabilitationView Agency

NAICS

621399 - Offices of All Other Miscellaneous Health PractitionersView NAICS

Place of Performance

CA, USA

Set-Aside

NONE

Documents

This scope was carved out of 0000040040.

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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No contract breakdown available.

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Timeline

PostedAug 11

subcontract

Response DeadlineAug 25

Submission deadline

Response Deadline

08/25/2026, 11:00:00 PM UTCin 9 days

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Organization & Contact Information

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AgencyCalifornia Department of Corrections & Rehabilitation

ContactsNo contacts available

OfficeN/A

Organization / Agency

California Department of Corrections & Rehabilitation

View Agency Profile

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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