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Medical Claims Processing & Adjudication

Active

State & Local

Response Deadline10/09/2026, 07:00:00 PM UTC

Contract Overview

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

General Info

Agency

Washington → Human ResourcesView Agency

NAICS

524210 - Insurance Agencies and BrokeragesView NAICS

Place of Performance

Not specified

Set-Aside

NONE

Documents

This scope was carved out of 00322898.

The full solicitation package (6 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Medical Claims Administration (RFP)

AI Contract Breakdown

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No contract breakdown available.

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Timeline

PostedSep 9

subcontract

Response DeadlineOct 9

Submission deadline

Response Deadline

10/09/2026, 07:00:00 PM UTCin 29 days

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Organization & Contact Information

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AgencyWashington → Human Resources

ContactsNo contacts available

OfficeN/A

Organization / Agency

Washington → Human Resources

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs medical claims adjudication for prime contractors on Port of Seattle medical administration projects. Processes medical claims and encounter data, manages capitated arrangements, handles denied and pended claims, and applies discount structures for facility and professional claim types. Utilizes claims adjudication software and CPT code libraries. Requires HIPAA compliance. Delivers adjudicated claims, reimbursement payments, and accuracy reports.

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