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This Subcontract opportunity from Department Of Justice was posted on July 10, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Duplicate Medical Claims Detection and Analysis

Closed
Federal

Contract Overview

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

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NAICS: 541611
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Solicitation # REWIRESTATE
The Local Government Association (LGA) is soliciting a project titled Rewiring the State – principles for enabling the collaborative advantage to support its Public Service Reform and Innovation Policy Committee Priority Goals for 2026/27. The primary objective is to develop practical principles for collaboration between local and strategic authorities, facilitating a devolution agreement that brings power closer to councils and communities. This initiative follows the Rewiring the State Delivery Plan and focuses on creating effective ways of working across overlapping responsibilities to maximize outcomes for people and places. The project will begin with a review of the published Delivery Plan to determine how to add the most value, and it is expected to run from December 21, 2026, to March 31, 2027. The contract has an estimated total value of 24,000 pounds including VAT and is particularly suited for small and medium-sized enterprises. Bids are evaluated based on a combination of quality and price, with the award going to the highest scoring overall quotation. The project falls under research and development and related consultancy services. Interested parties must submit their tenders electronically by the extended deadline of December 15, 2026. The primary point of contact for this solicitation is Anna Gunstone.
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DEADLINE

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AI Contract Overview

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The contract seeks to identify and analyze duplicate medical claims to prevent overpayments and enhance the accuracy of billing processes within federal healthcare operations. The work requires the contractor to develop methodologies for detecting redundant submissions, investigate patterns and sources of duplication, and deliver a comprehensive root cause analysis report that outlines findings, systemic vulnerabilities, and actionable recommendations to mitigate future occurrences. This effort is critical for ensuring financial integrity and operational efficiency in medical claim processing. This subcontract is designated as a Total Small Business Set-Aside under SBA regulations, meaning only small business concerns are eligible to compete. It falls under NAICS code 541611, classifying it as an administrative management and general management consulting service. The opportunity was posted on July 10, 2026, with a response deadline of July 23, 2026, and performance is expected to center in Washington. The contracting entity is the Department of Justice under the agency designation Fao, though no specific point of contact or detailed address information is provided. Contractors must be prepared to deliver high-precision analytical outputs aligned with federal compliance and financial accountability standards.

General Info

Detect duplicate medical claims, analyze root causes, deliver actionable recommendations for federal billing integrity.

NAICS

541611 - Administrative Management and General Management Consulting Services

Place of Performance

Washington, DC, USA

Set-Aside

SBA

Documents

This scope was carved out of 15BCMS26Q70000005.

The full solicitation package (5 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Historical Medical Claims Data Analysis

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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AgencyDepartment Of Justice → Fao
ContactsNo contacts available
OfficeN/A
Organization / AgencyDepartment Of Justice → Fao
Office AddressN/A
ContactsNo contact information available

Full Description

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Identify and analyze duplicate medical claims to prevent overpayment and improve billing accuracy. Deliver findings and root cause analysis report.

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Same awarding agency

NAICS: 621320
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Optometrist Services - OAX
Solicitation # 15BGCS27Q51800001
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NAICS: 622110
New
Federal
Comprehensive Medical Services -FPC Bryan
Solicitation # 15BCMS26R50400001
Solicitation 15BCMS26R50001 is a Request for Proposal issued by the Department of Justice, Federal Bureau of Prisons, for Comprehensive Medical Services at FPC Bryan in Bryan, Texas. This is a combined synopsis and solicitation for commercial services, not set aside for small businesses, utilizing an indefinite delivery/requirements contract type with firm-fixed unit prices. The contract structure includes a 12-month base period, four 12-month option periods, and a final extension option of up to six months. Services encompass inpatient and outpatient facility services, professional medical services, and telehealth consultations, with pricing based on Medicare Part A and B benchmarks or per-consultation and per-session rates. The government will award the contract using a Highest Technically Rated with a Fair and Reasonable Price approach, where technical factors and past performance are significantly more important than price. Technical evaluation focuses on service diversity, proximity to the facility, proposed enhancements, and accreditation status. Additionally, the government reserves the right to perform price realism analysis to ensure proposed costs reflect a clear understanding of requirements. Awardees must adhere to strict security protocols, including drug testing and background investigations for staff, maintain medical malpractice insurance, and comply with rigorous cybersecurity and PII breach reporting standards. Proposals must be submitted in three separate PDF volumes—Technical, Past Performance, and Business—by the deadline of December 7, 2026.
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