Core Medical Claims Adjudication Platform Development

The contract involves the design and development of a secure and scalable software platform focused on the automated adjudication of medical and dental claims. This platform will encompass key functionalities such as eligibility verification, pricing validation, and denial management to streamline the claims processing workflow. The project aims to enhance efficiency and accuracy in handling healthcare claims by leveraging advanced technology solutions. Issued by the Department of Homeland Security's Detention Compliance and Removals division, the opportunity is categorized as a subcontract under the NAICS code 511210, which pertains to software publishing. The work is to be performed in Washington, with a proposal submission deadline of July 15, 2026. The contract emphasizes the creation of a robust system capable of managing complex healthcare claim processes while maintaining strict security and scalability standards.