This Government Contract opportunity from California was posted on May 21, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
Utilization Management and Prior Authorization
Contract Overview
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AI Contract Overview
The contract involves providing comprehensive utilization management services including prospective, concurrent, and retrospective reviews to assess medical necessity and promote cost-effective healthcare delivery. Responsibilities encompass prior authorization processes, handling appeals, and ensuring all activities are overseen by licensed clinical professionals. This approach helps to optimize service delivery while maintaining quality and adherence to medical guidelines. Scheduled as a subcontract within the health services sector governed under NAICS code 541611, the contract was posted in late May 2026 with a response deadline one week later. The contracting entity is a California-based health services agency, though specific location details and points of contact are not provided. The contract emphasizes clinical oversight and operational efficiency in utilization review functions, critical to managing healthcare costs while safeguarding patient care standards.
General Info
Agency
NAICS
Place of Performance
CA, USASet-Aside
Documents
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Timeline
Submission Closed
