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Medical Claims Adjudication Engine Development & Maintenance

Active

Federal

Contract Overview

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

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This contract involves the development and ongoing maintenance of a specialized software engine responsible for adjudicating inmate medical claims. The system will utilize Medicare-based rates, incorporate National Correct Coding Initiative (NCCI) edits, and ensure adherence to HIPAA-compliant billing practices. The goal is to create an efficient, reliable, and legally compliant platform for processing medical claims within the correctional environment. The subcontract is associated with the Department of Justice under the Privatization - Co agency and is classified under the NAICS code 541512, which pertains to custom computer programming services. The work will be performed in Washington, D.C., with a postal code of 20007. The contract was posted on May 5, 2026, and while it lacks specific set-aside details and a designated point of contact, it represents a critical technology solution aimed at improving claims adjudication efficiency and compliance in the correctional medical sector.

General Info

Develop, maintain inmate medical claims software using Medicare rates, NCCI edits, HIPAA compliance, DOJ contract.

Agency

Department Of Justice → Privatization - Co

NAICS

541512 - Computer Systems Design Services View NAICS

Place of Performance

Washington, DC, 20007, USA

Set-Aside

NONE

Documents

(0)

No documents available

AI Contract Breakdown

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Timeline

PostedMay 5

subcontract

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Organization & Contact Information

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AgencyDepartment Of Justice → Privatization - Co

ContactsNo contacts available

OfficeN/A

Organization / Agency

Department Of Justice → Privatization - Co

Office AddressN/A

ContactsNo contact information available

Full Description

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Develop and maintain the core software engine that adjudicates inmate medical claims using Medicare-based rates, NCCI edits, and HIPAA-compliant billing logic.

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