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Financial Interface & Claims Reconciliation Specialist

Active

State & Local

Response Deadline10/09/2026, 08:00:00 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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This subcontract for the Virginia Department of Behavioral Health and Developmental Services involves the development of a financial interface designed to reconcile service authorizations with billing for prime contractors. The project focuses on integrating with Medicaid billing systems and implementing service procedure coding verification utilizing ICD-10 codes. A primary objective is the creation of bidirectional feeds to track billing against authorized hours in accordance with CMS Medicaid billing standards to deliver a validated financial reconciliation interface. The opportunity is listed under NAICS code 541511 and is based in Virginia. Interested parties must submit their responses by October 9, 2026, following the posting date of September 4, 2026.

General Info

Virginia DBHDS subcontract for Medicaid financial interface development; responses due October 9, 2026.

Agency

Virginia → Department of Behavioral Health and Developmental ServicesView Agency

NAICS

541511 - Custom Computer Programming ServicesView NAICS

Place of Performance

VA USA, VA, USA

Set-Aside

NONE

Documents

This scope was carved out of RFI 720-5297.

The full solicitation package (4 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

720-5297 Waiver Management System (WaMS) Modernization RFI

AI Contract Breakdown

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Timeline

PostedSep 4

subcontract

Response DeadlineOct 9

Submission deadline

Response Deadline

10/09/2026, 08:00:00 PM UTCin about 1 month

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Organization & Contact Information

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AgencyVirginia → Department of Behavioral Health and Developmental Services

ContactsNo contacts available

OfficeN/A

Organization / Agency

Virginia → Department of Behavioral Health and Developmental Services

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Develops a financial interface to reconcile service authorizations with billing for prime contractors on Virginia DBHDS projects. Integrates with Medicaid billing systems and implements service procedure coding verification using ICD-10 codes. Creates bidirectional feeds to track billing against authorized hours per CMS Medicaid billing standards. Delivers a validated financial reconciliation interface.

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