Third-Party Administration (TPA) – Medical & Pharmacy Claims

This contract involves third-party administration services for medical and pharmacy claims, focusing on a comprehensive range of benefits management tasks. Key responsibilities include processing claims, managing eligibility and enrollment, coordinating stop-loss insurance, facilitating electronic data interchange (EDI) connectivity with carriers, and performing data reconciliation to ensure accuracy and consistency. The contract is categorized under NAICS code 541612, which pertains to administrative management and general management consulting services. Issued by the Atlanta Regional Commission in Georgia, this subcontract opportunity was posted on May 27, 2026, with a response deadline of June 26, 2026. While specific details such as the solicitation number, organization type, set-aside status, and exact location for performance are not provided, the focus remains on delivering administrative and operational support for medical and pharmacy benefits programs. The contract emphasizes efficient coordination and data handling between involved parties to streamline benefits administration.