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Utilization Management Workflow Software

Active

Response Deadline09/21/2026, 12:00:00 AM UTC

Contract Overview

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

General Info

Agency

Noridian Healthcare Solutions, LLCView Agency

NAICS

511210 - Software PublishersView NAICS

Place of Performance

Not specified

Set-Aside

SBA

Documents

This scope was carved out of utilization-management-technical-solutions-rfi.

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

View the prime solicitation

Utilization Management Technical Solutions RFI

AI Contract Breakdown

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Timeline

PostedSep 3

subcontract

Response DeadlineSep 21

Submission deadline

Response Deadline

09/21/2026, 12:00:00 AM UTCin 17 days

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Organization & Contact Information

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AgencyNoridian Healthcare Solutions, LLC

ContactsNo contacts available

OfficeN/A

Organization / Agency

Noridian Healthcare Solutions, LLC

View Agency Profile

Office AddressN/A

ContactsNo contact information available

Full Description

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Supplies a configurable software solution for prime contractors on Noridian Healthcare Solutions projects to manage the end-to-end UM lifecycle. Provides a platform for intake, prior authorization, clinical review, appeals, and workflow automation configured to federal and state healthcare requirements. Utilizes SaaS, Cloud (AWS/Azure/GCP), or hybrid infrastructure. Requires SOC2 or FedRAMP certifications. Delivers a configured UM software platform.

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Utilization Management Technical Solutions RFI

Solicitation # utilization-management-technical-solutions-rfi

Noridian Healthcare Solutions, LLC is seeking market information through a Request for Information for configurable technical solutions that support end-to-end utilization management workflows for federal and state healthcare programs. The objective is to identify technology providers and strategic partners capable of delivering scalable, compliant solutions for evaluating medical necessity, provider compliance, and the efficiency of healthcare services. The scope of the inquiry covers a wide range of capabilities, including intake, prior authorization, clinical review, appeals, workflow automation, and advanced integrations using HL7, FHIR, and X12 standards. Additionally, Noridian is interested in reporting, security compliance, deployment models, and the application of AI and advanced intelligence. This solicitation is open to a broad range of small business entities, including Small Disadvantaged, Women-Owned, HUBZone, and Veteran-Owned small businesses, under NAICS code 541512. Interested respondents must submit their capabilities via a templated spreadsheet in Agiloft, covering specific areas such as business rules, data management, and infrastructure. The response deadline is September 21, 2026, and the primary point of contact for this effort is Danielle Bata.

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