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Medical Peer Review and Utilization Review Services

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State & Local

Contract Overview

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

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This contract involves providing specialized medical peer review and utilization review services to evaluate the medical necessity, appropriateness of treatment plans, and adherence to Illinois medical fee schedules. The services are focused on ensuring compliance with regulatory standards and cost-effectiveness of medical care. The contract is a subcontract under the NAICS code 621399, which pertains to offices of all other miscellaneous health practitioners. The work will be performed primarily in Downers Grove, Illinois, with a specified ZIP code of 60515. The contracting agency is the Illinois Insurance department. While there is no specified point of contact or set-aside type, the contract was posted on December 19, 2025, and is intended to support the Illinois insurance regulatory framework by providing expert medical review services. The contract highlights the importance of thorough and compliant medical review processes in managing healthcare costs and optimizing patient care within the state.

General Info

Provide medical peer and utilization review in Downers Grove, Illinois for Illinois Insurance Department compliance.

Agency

Illinois → Insurance

NAICS

621399 - Offices of All Other Miscellaneous Health Practitioners

Place of Performance

Downers grove, IL, 60515, USA

Set-Aside

NONE

Documents

This scope was carved out of 24-0131.

The full solicitation package (17 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

24-557THA-FINAN-B-47726 | RFP-Workers Compensation Claims Administration Svcs

AI Contract Breakdown

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Timeline

PostedDec 19

subcontract

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Organization & Contact Information

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AgencyIllinois → Insurance

ContactsNo contacts available

OfficeN/A

Organization / AgencyIllinois → Insurance

Office AddressN/A

ContactsNo contact information available

Full Description

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Conduct medical peer reviews and utilization reviews to assess medical necessity, treatment plans, and compliance with Illinois medical fee schedules.

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