This Government Contract opportunity from Department Of Justice was posted on June 30, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
Fraud, Waste, and Abuse Detection in Medical Claims
Contract Overview
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AI Contract Overview
The contract involves the analytical detection of fraudulent billing patterns within medical claims data, focusing on identifying duplicate claims, over-billing, and inappropriate procedure codes. The work requires the application of advanced analytical techniques to historical claims data to uncover anomalies indicative of fraud, waste, or abuse in healthcare billing practices. The performance of this work is localized to Washington, D.C., with a postal code of 20534, and is classified under NAICS code 541990, which pertains to other scientific and technical consulting services. This is a subcontract opportunity issued by the Department of Justice under the FAO designation, with a response deadline of July 2, 2026, at 3:00 PM Eastern Time. The solicitation was posted on June 30, 2026, and while no specific set-aside type is indicated, the nature of the work suggests high-level analytical capabilities and data integrity standards are required. There is no designated point of contact listed in the posting.
General Info
Agency
NAICS
Place of Performance
Washington, DC, 20534, USASet-Aside
Documents
This scope was carved out of 15BCMS26N70000003.
The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.
Historical Medical Claims Data Analysis
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Timeline
Submission Closed
Organization & Contact Information
Full Description
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