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Medical Claims & Encounter Management

Active

State & Local

Response Deadline11/13/2026, 06:00:00 PM UTC

Contract Overview

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

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This subcontract for Medical Claims and Encounter Management supports prime contractors on State of Ohio telehealth projects managed by Administrative Services. The scope of work involves performing medical coding and claims submission, utilizing electronic data interchange for 834-eligibility files, correcting rejections, and reconciling data with medical third-party administrators. The final deliverables include adjudicated claims and Member Explanations of Benefits. To ensure accuracy and compliance, the contractor must utilize specialized medical billing software and implement a human clinician review process for any AI-generated data. The solicitation was posted on October 16, 2026, with a response deadline of November 13, 2026, falling under NAICS code 621999.

General Info

Subcontract for Ohio telehealth medical coding, claims submission, and encounter management services.

Agency

Ohio → Administrative Services

NAICS

621999 - All Other Miscellaneous Ambulatory Health Care Services

Place of Performance

OH, USA

Set-Aside

NONE

Documents

This scope was carved out of SRC0000042016.

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

View the prime solicitation

DAS TELEHEALTH ADMINISTRATION

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Timeline

PostedOct 16

subcontract

Response DeadlineNov 13

Submission deadline

Response Deadline

11/13/2026, 06:00:00 PM UTCin 25 days

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Organization & Contact Information

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AgencyOhio → Administrative Services

ContactsNo contacts available

OfficeN/A

Organization / AgencyOhio → Administrative Services

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs medical coding and claims submission for prime contractors on State of Ohio telehealth projects. Processes claims electronically via EDI for 834-eligibility files, handles rejection correction, and reconciles with medical TPAs. Requires medical billing software and human clinician review for AI-generated data. Delivers adjudicated claims and Member Explanations of Benefits (EOB).

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