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Medical Claims Processing and Payment Accuracy Review

Active

Federal

Response Deadline09/18/2026, 11:00:00 PM UTC

Contract Overview

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

General Info

Agency

Department Of Defense → Defense Health AgencyView Agency

NAICS

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

Place of Performance

Aurora, CO, 80011, USA

Set-Aside

NONE

Documents

This scope was carved out of HT9402-26-RFI-0255.

The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

PILOT PROGRAM TO ASSIST CERTAIN MEMBERS OF THE ARMED FORCES AND DEPENDENTS WITH ADDITIONAL SUPPLEMENTAL COVERAGE RELATING TO CANCER HT9402-26-RFI-0255

AI Contract Breakdown

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Timeline

PostedSep 4

subcontract

Response DeadlineSep 18

Submission deadline

Response Deadline

09/18/2026, 11:00:00 PM UTCin 11 days

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Organization & Contact Information

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AgencyDepartment Of Defense → Defense Health Agency

ContactsNo contacts available

OfficeN/A

Organization / Agency

Department Of Defense → Defense Health Agency

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs adjudication of healthcare claims and payment accuracy reviews for prime contractors on Department of Defense Military Health System projects. Executes claims processing, TEDS occurrence error correction, and payment accuracy reviews using TEDS and claims adjudication software. Requires knowledge of TRICARE Systems Manual (TSM) and healthcare billing standards. Delivers processed claims and accuracy reports.

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