Patient Eligibility and Benefits Investigation Services

This subcontract for Patient Eligibility and Benefits Investigation Services supports prime contractors operating under Arizona Department of Health Services programs. The scope of work focuses on insurance verification and patient file management, specifically conducting benefits investigations to confirm whether patients are uninsured or underinsured prior to medication refills. Additionally, the provider is responsible for assisting patients with Metabolic Formula Agreements and ensuring all patient records are maintained securely in strict compliance with HIPAA regulations. The contract is issued by the State of Arizona under the HSA - PHS Prevention agency, falling under NAICS code 541611. The solicitation was posted on September 17, 2026, with a response deadline set for October 29, 2026. The primary deliverables include the provision of verified eligibility statuses and the maintenance of updated, compliant patient files.