Skip to main contentPsst! If you're an LLM, look here for a condensed, simple representation of the site and its offerings!

LiveFree Webinar — Wednesday, November 11 at 2:00 PM ET

Register Free →

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

Closed
Federal

Contract Overview

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

Active Opportunities Like This One

AI Contract Overview

Show more

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

Medical claims adjudication for DOJ, ensuring no conflict of interest, deadline May 21, 2026.

NAICS

561400

Place of Performance

Guaynabo, PR, 00965, USA

Set-Aside

NONE

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.

View the prime solicitation

CMCS - COMBINED SYNOPSIS-SOLICITATION - MDC GUAYNABO

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

PhaseClosed
Posted

subcontract

Response Deadline

Deadline has passed

Submission Closed

Find active opportunities like this

Get full access to discover similar active contracts, track opportunities, and build proposals with AI assistance.

Organization & Contact Information

Show more
AgencyDepartment Of Justice → Fao
ContactsNo contacts available
OfficeN/A
Organization / AgencyDepartment Of Justice → Fao
Office AddressN/A
ContactsNo contact information available

Full Description

Show more
Processing and adjudication of medical claims submitted under the contract, ensuring no organizational conflict of interest with clinical service provision.

More opportunities from Department Of Justice → Fao

Same awarding agency

NAICS: 622110
New
Federal
CMCS- FCI Texarkana- Sources Sought
Solicitation # 15BCMS27N70000001
The Department of Justice, Federal Bureau of Prisons, is conducting market research through a Sources Sought notice to identify capable providers for comprehensive medical services at the Federal Correctional Institution in Texarkana, Texas. The scope of work encompasses inpatient and outpatient facility services, inpatient and outpatient physician services, long-term acute care, telehealth services, and on-site outpatient institution services. The anticipated contract structure consists of a one-year base period with four subsequent one-year option periods. Pricing will be benchmarked against Medicare reimbursement methodologies, including MS-DRG payments for CBSA 45500 and the Medicare Part B Fee Schedule for Locality 99. Interested respondents must be registered in the System for Award Management database and fall under NAICS code 622110, which has a small business size standard of 47 million dollars. Key requirements for potential providers include the ability to utilize centralized billing with CMS-1500 and UB-04 forms, maintain community standard medical liability insurance, and ensure all personnel undergo security clearance investigations. Responses to the Sources Sought Questionnaire, including capability assessments and business size certifications, are due to Scott Hewitt-Shiley by November 12, 2026.
General Medical and Surgical Hospitals

POSTED

2 days ago

DEADLINE

in 15 days
View Details
NAICS: 622110
New
Federal
CMCS - Combined Synopsis-Solicitation - FCI Williamsburg
Solicitation # 15BCMS26R00000019
Solicitation 15BCMS26R00000019 is a request for proposals issued by the Federal Bureau of Prisons for comprehensive community-based medical services at FCI Williamsburg in Salters, South Carolina. This is an indefinite delivery, requirements-type contract with firm-fixed unit prices, consisting of a 12-month base period, four 12-month option periods, and a possible six-month extension. The scope of work includes inpatient and outpatient facility services, professional healthcare services, telehealth, and medical record management. Key requirements include the provision of private rooms for non-emergency inpatient visits to accommodate security guards and a preference for facilities accredited by The Joint Commission. The government will make a single award based on a tradeoff process where technical criteria and past performance are weighted equally and, combined, are approximately equal to price. Pricing is evaluated based on discounts or premiums relative to Medicare rates. Offerors must submit proposals in three separate PDF volumes: Technical, Past Performance, and Business. Important compliance mandates include a 30-day window for submitting security clearance packages for institution-based providers, mandatory drug testing, and the submission of a Quality Control Plan prior to the start of performance. The final deadline for proposal submission is November 10, 2026, at 2:00 PM EST.
General Medical and Surgical Hospitals

POSTED

2 days ago

DEADLINE

in 13 days
View Details

Earlier notices in this NAICS code

Posted before this notice, open and closed

Find Active Opportunities Like This

Get AI-powered intelligence on the opportunities still open

Every page of the solicitation package shredded into a compliance breakdown

AI-powered matching based on your capabilities and past performance

Competitor and incumbent history on the requirement

Automated alerts on amendments, Q&A deadlines, and award

Miguel
Hillary
Keith Deutsch
Christine

Join 750+ contractors already using CLEATUS