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This Solicitation opportunity from North Carolina was posted on January 17, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Healthcare Claims Visibility Solution - Request for Information (RFI) Event

Closed
30-2024-004-DHBState & Local

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NAICS: 524210
New
SLED
RFP 07-2025-IT011 Program Broker and Administrator for Voluntary Supplemental Benefits for NC Retirees and Benefit Recipients
Solicitation # 07-2025-IT011
The North Carolina Department of State Treasurer's Retirement Systems Division is soliciting offers for a Program Broker and Administrator to manage the voluntary supplemental benefits program for North Carolina retirees and benefit recipients. The selected vendor will be responsible for assessing retiree needs, conducting provider solicitations, negotiating customized terms, and acting as the primary plan liaison for operations. Key administrative duties include managing status changes, life claims, coverage levels, and providing participant communications and forms. The contract is a term agreement with a phased implementation schedule, requiring a detailed plan within 30 days of the effective date and full coverage and administration beginning January 1, 2028. Award selection will be based on a trade-off/ranking method to determine the best value, prioritizing the vendor's brokerage and product sourcing capabilities and their approach to program administration and operations. The vendor must comply with North Carolina state procurement rules, including Department of Information Technology terms and conditions, ADA compliance, and strict data security standards for high-risk information, with a preference for HITRUST, SOC 2 Type 2, or FedRAMP certifications. Key deliverables include independent program reviews every two years and a commitment to provide up to six months of transition assistance upon contract termination. Proposals are due by December 21, 2026, and must include comprehensive documentation across multiple attachments, including financial reviews and vendor certifications.
Department of Treasurer

POSTED

2 days ago

DEADLINE

in about 1 month

AI Contract Overview

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The North Carolina Department of Health and Human Services has issued a Request for Information (RFI) for a Healthcare Claims Visibility Solution, aiming to gather industry input on potential solutions that enhance the transparency and management of healthcare claims data. The solicitation, identified as Doc976168260, was posted on January 17, 2024, with responses due by February 23, 2024. This initiative is part of the state's effort to improve healthcare claims processing and oversight, aligning with the NAICS code 524210, which pertains to insurance carriers. The project is targeted at entities within North Carolina and is categorized as a solicitation for information without a specified set-aside status. Interested parties can contact Kevin Barlage via email for further details or clarification. The contract's scope and size are not explicitly defined, indicating that the RFI is primarily for information gathering rather than immediate procurement. The solicitation details and updates are accessible through the North Carolina state's official procurement portal. This RFI represents an opportunity for vendors to contribute insights and demonstrate their capabilities in healthcare claims visibility solutions, supporting the state's efforts to enhance healthcare data transparency and operational efficiency.

Documents

1
PDF, Low priorityrfi
Low

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Timeline

PhaseClosed
Posted

Solicitation

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyNorth Carolina Department of Health and Human Services
Contacts1 person available
OfficeN/A
Office AddressN/A
Contacts
Kevin Barlage

Full Description

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Healthcare Claims Visibility Solution - RFI Event

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