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Medical Claims Processing and Fiduciary Management

Active

State & Local

Response Deadline09/21/2026, 06:00:00 PM UTC

Contract Overview

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

General Info

Agency

Virginia → Human ResourcesView Agency

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsView NAICS

Place of Performance

VA, USA

Set-Aside

NONE

Documents

This scope was carved out of RFP 27-24.

The full solicitation package (26 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

MEDICAL PLAN ADMINISTRATION

AI Contract Breakdown

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Timeline

PostedAug 19

subcontract

Response DeadlineSep 21

Submission deadline

Response Deadline

09/21/2026, 06:00:00 PM UTCin 15 days

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Organization & Contact Information

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AgencyVirginia → Human Resources

ContactsNo contacts available

OfficeN/A

Organization / Agency

Virginia → Human Resources

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Office AddressN/A

ContactsNo contact information available

Full Description

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Performs adjudication of medical claims for prime contractors on City of Charlottesville medical plan projects. Processes facility, professional, ancillary, behavioral health, and specialty claims using claims adjudication software and EDI. Applies deductibles, copayments, and coinsurance while managing recovery activities and appeals per HIPAA and regulatory requirements. Delivers adjudicated claims, payment disbursements, and claim audit reports.

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