This Subcontract opportunity from Texas was posted on May 15, 2025. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Prescription Drug Benefit Management

Closed

State & Local

Submission Closed06/11/2025, 07:00:00 PM CDT

Contract Overview

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

Active Opportunities Like This One

NAICS: 524291

SLED

Health Claims Administration ServicesThis subcontract for Health Claims Administration Services involves providing administrative processing for health claims on behalf of prime contractors for San Patricio County health plan projects. The scope of work includes reviewing claims for defects, issuing denial notices with appropriate diagnosis and treatment codes, managing internal appeals, and maintaining a web-based portal for contracted provider lists. The service provider must strictly adhere to established claim denial notification standards. Key deliverables for this engagement include processed claims, formal denial letters, and a comprehensive provider network directory. The opportunity is categorized under NAICS code 524291 and is associated with San Patricio County in Texas. Interested parties must submit their responses by the deadline of November 19, 2026.

POSTED

DEADLINE

REPOST RFR 2026 DOI 006 THIRD REFEREE APPOINTEE 10.26.26

Solicitation # BD-27-1027-1FED-1FED-134832

The Massachusetts Division of Insurance is soliciting responses for RFR 2026 DOI 006 to establish a pool of pre-qualified individuals to serve as Third Referees. This reposted solicitation replaces bid BD-27-1027-1FED-1FED-133333 and seeks qualified vendors to review and evaluate disputes regarding the amount of loss in fire insurance claims and the cancellation, modification, or expiration of independent fire and casualty insurance agent contracts. These services are performed in accordance with Massachusetts General Laws, specifically M.G.L. c. 175, sections 99 through 100H and section 163. The Division does not pay the referee fees; instead, payment methods and amounts are determined by statute and the vendor's cost proposal. Responses are due by December 1, 2026, and must be submitted electronically via the COMMBUYS portal. Submissions must be divided into a Business Response and a separate Cost Proposal, with the latter remaining valid for 90 days. Evaluation is based on best value, with a strong preference for Small Business Procurement Preference participants. Mandatory submission documents include a substitute W-9, a standard contract form, business references, and an environmental practices form. Selected vendors must maintain professional malpractice and other required insurance certifications and adhere to strict performance standards to avoid removal from the pre-qualified pool.

Division of Insurance

POSTED

DEADLINE

Insurance Claims Administration ServicesThis subcontract for Insurance Claims Administration Services supports prime contractors on insurance projects for the Schertz-Cibolo-Universal City ISD in Texas. The scope of work involves executing claims adjudication, verifying member eligibility, and managing financial reporting. To ensure security and regulatory compliance, the provider must utilize HIPAA-compliant data portals and Claims Management Systems while maintaining professional liability insurance and adhering to all state insurance regulations. The primary deliverables for this engagement include processed claims reports and adjudicated payment vouchers. The opportunity was posted on October 23, 2026, with a response deadline of November 13, 2026. The services fall under NAICS code 524291, focusing on specialized insurance claims administration.

SCHERTZ-CIBOLO-UNIVERSAL CITY ISD

POSTED

DEADLINE

AUTO AND PROPERTY APPRAISAL SERVICES

Solicitation # 6100019640

The City of San Antonio Office of Risk Management is soliciting proposals under RFP 26-075 for a vendor to provide comprehensive automobile and property appraisal services. The scope of work focuses on assessing damages caused to third parties by the City, covering a wide range of assets including automobiles, trucks, motorcycles, heavy equipment, and both residential and commercial properties with cosmetic or structural damage. Beyond standard appraisals, the selected vendor will be responsible for conducting medical reviews, reviewing appraisals submitted by third-party representatives, and performing special investigations that involve interviewing parties and collecting data and statements. These services specifically exclude third-party workman's compensation claims. The solicitation was issued on October 21, 2026, with proposals due by November 19, 2026, at 11:00 a.m. Central Time. Interested vendors must complete the SAePS Vendor Registration to access the solicitation and submit their responses through the SAePS portal. An optional pre-submittal conference was scheduled for October 28, 2026. The procurement process is managed by the Finance Department Procurement Division, and the evaluation committee includes leadership from the Office of Risk Management, the Solid Waste Management Department, and Building and Equipment Services. Strict communication restrictions are in place, prohibiting contact with City employees from the release of the RFP until the contract is approved at a City Council A session.

POSTED

DEADLINE

Agricultural Crop Insurance AdjusterThis subcontract opportunity is for an Agricultural Crop Insurance Adjuster to provide professional loss adjusting and appraisal services for tree fruit and grape crops on behalf of the Province of British Columbia's Ministry of Agriculture and Food. The selected provider will be responsible for determining potential crop yields through plant counts, assessing damage from uninsurable causes, and measuring harvested volumes. Additionally, the contractor must sample crops for quality loss in accordance with the Canadian Grade Compendium: Volume 2 and deliver detailed appraisal reports and documented loss assessments. To successfully execute the contract, the provider must possess a digital camera, laptop, and cell phone. The solicitation was posted on October 9, 2026, with a response deadline of December 5, 2026. This role operates under NAICS code 524291 and involves working as a subcontractor for prime contractors managing these specific agricultural projects.

Ministry of Agriculture and Food

POSTED

DEADLINE

Solicitation # MULRFQ 2728-2

The Ministry of Agriculture and Food for the Province of British Columbia issued solicitation MULRFQ 2728-2 on October 9, 2026, to establish a Multi-Use List of Qualified Suppliers for Production Insurance Claims Adjusting and inspection services specifically for tree fruit and grapes. The scope of work involves conducting field inspections to assess crop and plant loss, determine causes of loss, estimate pre-harvest yields, and determine crop areas across various British Columbia regions, including the Okanagan Valley, Similkameen Valley, and Fraser Valley. While inspections occur year-round, the primary activity period is from April 1 to November 30. Quality loss sampling must adhere to the Canadian Grade Compendium: Volume 2 – Fresh Fruit or Vegetables. Qualified suppliers will be selected through a four-stage evaluation process consisting of mandatory criteria, desirable qualifications, reference checks, and final notification. To pass the second stage, respondents must achieve a minimum overall score of 73. Mandatory technical requirements include a valid Business BCeID and specific hardware, while desirable equipment includes ATVs and hand-held GPS software. Submissions must be in English and submitted via BC Bid or email by December 5, 2026, including the Respondent Qualification Form, Resource Qualification Form, and a resume. Per Addendum 1, submissions from U.S. suppliers will be disregarded unless submitted by a Canadian-based subsidiary that is a Canadian entity. Once established, the list will be used to issue non-exclusive Competition Notices on an as-needed basis, with resulting contracts likely following the Province's standard General Services or Professional Services Agreements.

Ministry of Agriculture and Food

POSTED

DEADLINE

Medicaid Claims Management SoftwareThis subcontract for Medicaid Claims Management Software involves the supply and maintenance of a specialized claims submission system for prime contractors working on Spring Independent School District projects. The software is designed to validate SHARS billing requirements, specifically focusing on the verification of IEPs and parental consent, while ensuring strict adherence to Federal Compliance Guidelines for Medicaid billing. The contractor is responsible for delivering a fully operational and validated system capable of maintaining 99 percent accuracy with a permissible error rate of plus or minus 3 percent. This opportunity is associated with Arlington ISD in Texas, with a response deadline set for June 30, 2027.

POSTED

DEADLINE

Stop-Loss Claims AdministrationThis subcontract for Stop-Loss Claims Administration involves providing administrative processing for prime insurance carriers supporting Illinois State Toll Highway Authority employee benefits projects. The selected provider will be responsible for reviewing medical claims against established thresholds, validating member eligibility, and calculating reimbursement amounts. All operations must be conducted using claims management software and data handling systems that adhere to strict HIPAA compliance standards. The contract requires the provider to maintain HIPAA Compliance certification and Professional Liability Insurance to ensure data security and operational risk management. Key deliverables include the submission of processed claim reports and the execution of reimbursement disbursements. The work is associated with NAICS code 524291 and is centered in Downers Grove, Illinois.

POSTED

DEADLINE

Solicitation # 2026810010

The West Virginia Department of Transportation has issued solicitation 2026810010, titled Call 027 2026810010, for the D1 2027 REM CLAIMS project. This SLED organization contract involves performance across multiple locations in West Virginia, specifically within Boone, Clay, Kanawha, and Mason counties. Interested parties must submit their responses by the deadline of December 8, 2026, at 3:00 PM. Further details and proposal submissions can be managed through the official bidding portal provided by the agency.

West Virginia Department of Transportation

POSTED

almost 57 years ago

DEADLINE

in 27 days

AI Contract Overview

The City of Beaumont in Texas is seeking a subcontractor for Prescription Drug Benefit Management. The selected provider will be responsible for the comprehensive administration of pharmacy benefits, which includes the delivery of pharmacy benefit management services, formulary management, and the oversight of drug utilization reviews. Additionally, the contractor must ensure member access to both retail and mail-order pharmacy networks. This opportunity was posted on May 15, 2025, and requires responses to be submitted by the deadline of June 12, 2025. The contract is categorized under NAICS code 524291, focusing on specialized pharmacy benefit administration to support the city's healthcare infrastructure.