Duplicate Medical Claims Detection and Analysis

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.