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This Subcontract opportunity from California was posted on February 15, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

HIPAA-Compliant Claims Processing and Adjudication

Closed
State & Local

Contract Overview

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The HIPAA-Compliant Claims Processing and Adjudication subcontract, issued by the California County Executive Office Human Resources, involves the end-to-end management of medical, pharmacy, and behavioral health claims. The scope of work encompasses critical operational functions including eligibility verification, adjudication, payment processing, and denial management. To ensure legal and regulatory adherence, the provider must maintain strict compliance with HIPAA and ERISA standards, as well as specific benefit designs established by the County. This opportunity was posted on February 15, 2024, with a response deadline of March 15, 2024. Classified under NAICS code 561400, the contract focuses on specialized administrative support for healthcare claims. Interested parties can find further details and submission guidelines through the official procurement portal.

General Info

HIPAA-compliant medical claims processing and adjudication for California County Executive Office Human Resources.

NAICS

561400

Place of Performance

CA, USA

Set-Aside

NONE

Documents

This scope was carved out of 017-202403-MC.

The full solicitation package (12 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFP for Claims Administration for the Self-Insured Preferred Provider Organization (PPO) Health Plans

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Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyCalifornia → County Executive Office Human Resources
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

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End-to-end processing of medical, pharmacy, and behavioral health claims including eligibility verification, adjudication, payment, and denial management. Must comply with HIPAA, ERISA, and County-specific benefit designs.

Earlier notices in this NAICS code

Posted before this notice, open and closed

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