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This Government Contract opportunity from Texas was posted on June 17, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Medical Claim Audit Services

Closed
State & Local

Contract Overview

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

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NAICS: 541611
New
SLED
Pinellas County SBE Consultants per the Consultant Competitive Negotiations Act (CCNA)
Solicitation # 26-0853-RFQ-CCNA
Pinellas County's Office of Management and Budget is establishing a pool of certified Small Business Enterprise (SBE) consultants under the Consultant Competitive Negotiations Act (CCNA). This ongoing solicitation seeks professional services in areas such as engineering, survey and mapping, architecture, landscape architecture, planning, coastal management, and construction management. The program specifically targets work assignments that do not exceed the 150,000 dollar local market threshold. To be eligible, firms must be located in Pinellas, Hillsborough, Pasco, or Manatee counties, employ no more than 50 full-time staff, and meet specific revenue caps: a three-year average of 3 million dollars for selective goods and services or 8 million dollars for construction providers. Applicants must submit a comprehensive proposal via the OpenGov portal, including an SF-330, a professional consultant certification form, SBE certification, Florida professional licenses, and a signed insurance statement. Evaluation is based on professional personnel ability and past performance, each worth 40 points, and SBE status, worth 20 points, with a minimum score of 75 required for shortlist acceptance. Selected consultants must adhere to the Pinellas County CADD Standards Manual and Kit for Survey and Civil Engineering and maintain specific insurance coverages, including 1 million dollars for professional liability and 2 million dollars for products and completed operations. While the county establishes this qualified pool, there is no guarantee of specific work assignments.
OMB - PURCHASING

POSTED

about 16 hours ago

DEADLINE

in almost 5 years

AI Contract Overview

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The contract seeks providers to perform medical claim audits for the Teacher Retirement System of Texas, focusing on identifying overpayments, underpayments, and deviations from plan terms through detailed data analysis and adjudication reviews. The work involves evaluating insurance claims to ensure accuracy and compliance with established benefits guidelines, requiring expertise in healthcare claims processing and analytical methodologies. The solicitation is classified as a subcontract under NAICS code 541611, with a response deadline of July 17, 2026, and was posted on June 17, 2026. The contract is managed by the Texas agency under the Teacher Retirement System, and performance is expected to be conducted in alignment with state requirements, though no specific location is designated. The opportunity is accessible through the Texas SmartBuy portal.

General Info

Audit medical claims for Texas Teacher Retirement System to ensure payment accuracy and compliance by July 17, 2026.

Agency

Teacher Retirement System of Texas

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

TX, USA

Set-Aside

NONE

Documents

This scope was carved out of TRS000646.

The full solicitation package (4 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Claims Audit Services

AI Contract Breakdown

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No contract breakdown available.

Cannot generate Contract Breakdown because no documents were found from this contract's source.

Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyTeacher Retirement System of Texas
ContactsNo contacts available
OfficeN/A
Organization / Agency
Teacher Retirement System of Texas
Office AddressN/A
ContactsNo contact information available

Full Description

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Perform audits of medical insurance claims to detect overpayments, underpayments, and non-compliance with plan terms using data analysis and adjudication review.

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