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Pharmacy Claims Administration

Active

State & Local

Contract Overview

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

AI Contract Overview

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This contract involves the administration of retail pharmacy claims specifically related to workers' compensation. The responsibilities include processing both brand-name and generic prescriptions, ensuring adherence to formulary compliance guidelines, and integrating with the Pharmacy Benefit Manager (PBM) system to streamline claim handling. The contract is categorized under NAICS code 511210 and is structured as a subcontract. The work will be performed in Downers Grove, Illinois, with the contracting agency identified as the state's Insurance department. Although some specific details such as the solicitation number, set-aside status, and point of contact are not provided, the contract focuses on leveraging pharmacy claims administration expertise to support workers' compensation processes efficiently within the specified jurisdiction.

General Info

Administration of workers' compensation pharmacy claims, processing prescriptions, ensuring formulary compliance in Illinois.

Agency

Illinois → InsuranceView Agency

NAICS

511210 - Software PublishersView NAICS

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 / Agency

Illinois → Insurance

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Administer retail pharmacy claims under workers' compensation, including processing brand and generic prescriptions, formulary compliance, and PBM system integration.

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