Medicare Part D Claims Processing Support

The Medicare Part D Claims Processing Support subcontract, managed by the Illinois Office of Clinical, Administrative and Program Support, focuses on the administrative processing of reimbursement claims for prime contractors on Illinois Department of Human Services projects. The selected provider will be responsible for receiving and organizing DHS dispensing data, converting that information into valid reimbursement claims, and managing the entire submission process. Successful execution of this contract requires specialized knowledge of Medicare Part D reimbursement regulations and DHS dispensing data standards to ensure all claims are processed and submitted accurately. The work is centered in Springfield, Illinois, under NAICS code 541219, with the primary goal of delivering successfully processed reimbursement claims.