Insurance Billing and Co-Payment Management

The contract entails managing third-party insurance claims for Medi-Cal, Medicare, and private insurers, including the accurate processing of claims, handling patient co-payments, and issuing invoices for any uncovered services. The work requires thorough knowledge of insurance billing procedures, compliance with payer-specific guidelines, and timely resolution of claim denials or underpayments to ensure proper reimbursement. This subcontract is focused on financial reconciliation between healthcare providers and insurers, with an emphasis on minimizing patient financial burden and maximizing coverage utilization. The contract is issued by the California Department of Developmental Services under NAICS code 561400, which covers administrative and support services, and is classified as a subcontract. The opportunity was posted on April 23, 2026, with a response deadline of May 12, 2026. The place of performance and specific office details are not specified, but the work is expected to support California’s developmental services network. All proposals must be submitted through the official eProcurement portal prior to the stated deadline.