This Government Contract opportunity from Illinois was posted on June 11, 2024. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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State-Specific Clinical Edit Development & Maintenance

Closed

State & Local

Submission Closed06/25/2024, 12:00:00 AM UTC

Contract Overview

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

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NAICS: 541511

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Suffolk County Council

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DEADLINE

AI AVATAR (Suffolk Economy)

Solicitation # GHI/ED/PSR1

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City of Willows

POSTED

about 12 hours ago

DEADLINE

in 13 days

AI Contract Overview

The State-Specific Clinical Edit Development and Maintenance subcontract, issued by the Illinois Healthcare and Family Services, focuses on the creation, testing, and ongoing support of clinical edits tailored to Illinois. The primary objective is to implement specific rule logic and workflow integrations at the claims level, with a particular emphasis on 340B drug identification and 4-Script Rejection processes. This opportunity falls under NAICS code 541511 and was posted on June 11, 2024, with a response deadline of June 25, 2024. The project requires technical expertise in developing clinical edits to ensure accurate claims processing and regulatory compliance within the state's healthcare infrastructure.

General Info

Illinois healthcare subcontract for developing and maintaining state-specific clinical claims edit logic.

Agency

Illinois Healthcare and Family Services

NAICS

541511 - Custom Computer Programming Services

Place of Performance

IL, USA

Set-Aside

NONE

Documents

This scope was carved out of 24-478HFS-MEDPR-B-43512.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Emergency Extension Notice Pharmacy Benefit Management System

AI Contract Breakdown

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Timeline

PhaseClosed

PostedJun 11

subcontract

Response DeadlineJun 25

Deadline has passed

Submission Closed

06/25/2024, 12:00:00 AM UTC

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Organization & Contact Information

AgencyIllinois Healthcare and Family Services

ContactsNo contacts available

OfficeN/A

Organization / AgencyIllinois Healthcare and Family Services

Office AddressN/A

ContactsNo contact information available

Full Description

Develop, test, and maintain Illinois-specific clinical edits such as the 4-Script Rejection and 340B drug identification at claims level, including rule logic and workflow integration.