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Health Benefit Administration Support Services

Active
State & Local

Contract Overview

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

General Info

Agency

Illinois → InsuranceView Agency

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsView NAICS

Place of Performance

Downers grove, IL, 60515, USA

Set-Aside

NONE

Documents

This scope was carved out of 26-557THA-FINAN-B-51242.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

26-557THA-FINAN-B-51242 | Renewal Notice - Employee Health Benefits Program 26-27

AI Contract Breakdown

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Timeline

Posted

subcontract

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Organization & Contact Information

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AgencyIllinois → Insurance
ContactsNo contacts available
OfficeN/A
Organization / Agency
Illinois → Insurance
View Agency Profile
Office AddressN/A
ContactsNo contact information available

Full Description

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Performs administrative functions for medical, dental, and optical benefit plans for prime contractors on Illinois State Toll Highway Authority (ISTHA) projects. Manages enrollment, claims processing, and eligibility verification using HIPAA-compliant data management systems. Requires HIPAA compliance and state insurance licensing. Delivers managed benefit enrollment and claims administration services.

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Same NAICS industry code

NAICS: 524292
SLED
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PROC OA DIVISION OF PURCHASING PROCUREMENTS

POSTED

10 days ago

DEADLINE

in 13 days
View Details
NAICS: 524292
SLED
Medical Claims Audit
Solicitation # RFP-12-2027
Multnomah County is seeking a qualified independent contractor to perform comprehensive medical, prescription, and dental claims audits and operational assessments for its self-funded health plans. The primary goals of this engagement are to ensure fiscal accountability, verify compliance with plan documents, and identify opportunities for cost recovery and process improvement. The selected vendor will be responsible for conducting audits at the County's discretion, implementing robust quality assurance and error-checking protocols, and providing a knowledge transfer plan, including training sessions for County staff. The contract may have a term of up to five years, with payment terms set at Net 30. Proposals are due by September 23, 2026, via the Multco Marketplace Supplier Portal. Evaluation is based on cost, expertise, methodology, innovation, and alignment with County needs, with a specific emphasis on responsible business practices, including energy conservation and living wage standards. High priority is placed on HIPAA compliance for data security and the integration of equity-focused principles to identify health plan disparities. The County strongly encourages participation from minority-owned, women-owned, and emerging small businesses. Award will be granted to the responsible proposer whose proposal is deemed most advantageous, with the highest-scoring responsive bidder entering negotiations for final contract terms.
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POSTED

14 days ago

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