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Medical Bill Review & Audit Services

Active

State & Local

Response Deadline10/06/2026, 06:00:00 PM UTC

Contract Overview

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

AI Contract Overview

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The City of Yuma is seeking a subcontractor to provide Medical Bill Review and Audit Services for workers compensation projects. The selected provider will perform both automated and manual reviews of medical bills, ensuring compliance with Industrial Commission of Arizona rules. Key responsibilities include comparing inpatient hospital days against Utilization Review dates, identifying inaccurate ICA fees or excess R&C charges, and reconciling diagnosis codes with procedure and sex codes. The contractor must utilize medical bill review software integrated with a CMIS to deliver audited bills along with specific payment recommendations. This opportunity is listed under NAICS code 541219, with a response deadline of October 6, 2026.

General Info

City of Yuma seeks subcontractor for workers compensation medical bill review and audit.

Agency

Arizona → City Of YumaView Agency

NAICS

541219 - Other Accounting ServicesView NAICS

Place of Performance

AZ, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP-27-117.

The full solicitation package (8 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

RFP Third Party Administrator for Workers Compensation

AI Contract Breakdown

Uniform Contract Format

No contract breakdown available.

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Timeline

PostedSep 16

subcontract

Response DeadlineOct 6

Submission deadline

Response Deadline

10/06/2026, 06:00:00 PM UTCin 17 days

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Organization & Contact Information

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AgencyArizona → City Of Yuma

ContactsNo contacts available

OfficeN/A

Organization / Agency

Arizona → City Of Yuma

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs automated and manual review of medical bills for prime contractors on City workers' compensation projects. Compares inpatient hospital days against Utilization Review dates, identifies inaccurate ICA fees and excess R&C charges, and reconciles diagnosis codes to procedure and sex codes. Uses medical bill review software integrated with a CMIS. Requires knowledge of Industrial Commission of Arizona (ICA) rules. Delivers audited medical bills with payment recommendations.

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