Historical Medical Claims Data Analysis

The solicitation for Historical Medical Claims Data Analysis, identified by solicitation number 15BCMS26Q70000005, is a total small business set-aside under FAR 19.5 with a NAICS code of 541611, issued by the Department of Justice’s Federal Bureau of Prisons through its Field Acquisition Office in Grand Prairie, Texas. The contract requires a one-time analysis of a 666,000-row medical claims dataset spanning January 1, 2021, to December 31, 2025, with the objective of detecting fraud, waste, and abuse, and identifying billing and utilization trends using a closed-gap artificial intelligence system. All analysis must be completed within 60 calendar days of data provision, and deliverables include a comprehensive analysis report, duplicate claims analysis, diagnosis/procedure code analysis, provider outlier analysis, and a Medicare rate comparison report. The contract is structured as a firm-fixed-price purchase order and the Government retains full ownership of all data, documentation, and methodologies produced, including DOJ information, source code, and product code, with strict prohibitions against third-party disclosure without written approval. Contractors are prohibited from using any public or open large language models and must ensure BOP data is never sent to external commercial AI providers. The technical approach, past performance, and price are evaluated on a best-value basis with the combined weight of technical and past performance approximately equal to price, though specific weights are not provided. Proposals must be submitted in three volumes: a technical quotient not exceeding ten pages detailing methodology, AI tools, quality controls, and schedule; a past performance section with up to two relevant examples; and a single firm-fixed-price quote for CLIN 0001. All personnel must comply with stringent security requirements mandating HSPD-12 clearances, FBI fingerprint checks, NCIC and DOJ-99 background checks, urinalysis testing if required, and completion of privacy and cybersecurity training under FISMA and HIPAA. Contractors must enforce NDA and DOJ IT Rules of Behavior, protect PII and CUI, and implement ANSI/EIA 748 earned value management. Deliverables must be submitted electronically in specified editable formats with identifying metadata, and acceptance is subject to a 15-workday review period by the COR. The Contracting Officer’s Representative will inspect and certify deliverables but may not alter contractual terms. Payment is through EFT in accordance