This Government Contract opportunity from Department Of Justice was posted on May 4, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
Medical Claims Adjudication and Billing Services
Contract Overview
Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.
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AI Contract Overview
The contract titled Medical Claims Adjudication and Billing Services involves the processing and evaluation of medical claims submitted under its terms, with a strict requirement to prevent any organizational conflict of interest between claims handling and the provision of clinical services. This subcontract is governed by NAICS code 561400 and is solicited by the Department of Justice under the FAO designation, with a response deadline of May 21, 2026. The performance location is specified as Guaynabo, Puerto Rico with a zip code of 00965, indicating that all adjudication and billing activities must be conducted at or in support of this designated site. The contract emphasizes operational integrity by mandating separation between administrative functions related to claims and any direct healthcare delivery, ensuring impartiality and compliance with federal standards for claims management. No set-aside provisions are specified, and no point of contact details are provided, leaving full responsibility for inquiries and submissions to the submitting entity in alignment with the SAM.gov portal guidelines.
General Info
Agency
NAICS
Place of Performance
Guaynabo, PR, 00965, USASet-Aside
Documents
This scope was carved out of 15BCMS26R00000001.
The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.
CMCS - COMBINED SYNOPSIS-SOLICITATION - MDC GUAYNABO
AI Contract Breakdown
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Timeline
Submission Closed
Organization & Contact Information
Full Description
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