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This Solicitation opportunity from Texas was posted on June 23, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Worker's Compensation Medical Management Service

Closed
RFP 5800 SLW3034State & Local

Contract Overview

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

Active Opportunities Like This One

NAICS: 524292
New
SLED
Medical Bill Review Services (Suffolk County Dept. of Law)
Solicitation # 2026-24
The Suffolk County Office of Central Procurement, on behalf of the Department of Law, is seeking qualified providers for medical bill review, repricing, and utilization review services for workers' compensation claims. The scope of work involves auditing all workers' compensation bills, verifying Current Procedural Terminology billing codes, and repricing bills based on State fee schedules or Preferred Provider Organization contracts. Key deliverables include the preparation of explanation of payment letters and the provision of a secure, encrypted, browser-based interface for online record review and the electronic processing of objections. Services must adhere to American Medical Association guidelines and Workers' Compensation Board fee schedules. The anticipated contract term runs from January 1, 2027, to December 31, 2029, with three optional one-year renewals extending through December 31, 2032. Award decisions are based on a 100-point scale evaluating general qualifications (40 points), proposed technical services (40 points), and the cost proposal (20 points). Pricing may be submitted as a contingent fee with a not-to-exceed clause, a service fee per bill, or an annual flat fee. The successful contractor must maintain professional liability insurance of at least 2 million dollars and comply with strict data protection, cybersecurity, and federal hiring laws. Proposals are due via the Bonfire portal by October 19, 2026.
Suffolk County

POSTED

4 days ago

DEADLINE

in 21 days
NAICS: 524292
New
International
Consultant to Perform Actuarial Services Relating to Retirement and Other Post-Employment Benefits
Solicitation # 2026-9
The City of Brantford is seeking a consultant under RFQ 2026-9 to provide actuarial services for retirement and other post-employment benefits for both the City and the Brantford Public Library Board. The contract covers three reporting cycles, specifically for the fiscal years 2026, 2027, and 2028. The selected consultant will be responsible for conducting a detailed actuarial valuation for the 2026 fiscal year and performing extrapolations for 2027 and 2028 to satisfy financial statement reporting and disclosure requirements under PS 3250 and PS 3255. Key deliverables include supporting calculations, documentation of assumptions and demographic data, and the creation of disclosure tables for financial statements. The contract will be awarded to the compliant respondent with the lowest contract amount following a three-stage evaluation process consisting of mandatory submission reviews, technical requirement assessments, and pricing analysis. The agreement commences upon execution and terminates after the completion of the 2028 year-end requirements. Selected consultants must maintain a minimum of 2 million dollars in both Non-Owned Automobile Liability and Errors and Omission insurance, the latter of which must be held for two years following the contract's end. Additionally, the consultant must provide a WSIB Certificate of Good Standing and adhere to the Municipal Freedom of Information and Protection of Privacy Act and the Accessibility for Ontarians with Disabilities Act. Invoices are to be submitted monthly with net 30-day payment terms.
City of Brantford

POSTED

5 days ago

DEADLINE

in 17 days
NAICS: 524292
New
SLED
Third-Party Recovery & Subrogation Services for Property Damage
Solicitation # 2124-RFP
The City of Rock Hill, South Carolina, is soliciting proposals under RFP 2124-RFP for a qualified firm to provide comprehensive third-party recovery and subrogation services. The objective is to recover costs from liable third parties for property damage to city assets, including vehicles, mobile equipment, real property, water/sewer assets, and utilities infrastructure such as poles and signage. The selected vendor will be responsible for 24/7 claim intake, liability investigations, and financial management, including the preparation of itemized invoices for labor and parts. The contract features an initial three-year term starting January 1, 2027, with two optional 12-month extensions. Awarding will be based on a weighted evaluation system considering service quality, past performance, and compliance, with special adjustments available for local businesses in Rock Hill or York County. Performance is measured by strict KPIs, including a non-litigated recovery rate of at least 70%, an average cycle time of 120 days or less, and 100% reporting timeliness. The vendor must maintain comprehensive liability and workers compensation insurance, adhere to strict PII confidentiality standards, and certify compliance with South Carolina laws regarding unauthorized aliens and the Iran Divestment Act. Payment is processed monthly within 30 days of invoicing, though the City reserves the right to hold up to 10% in retainage until all issues are resolved to its satisfaction.
Risk Management

POSTED

6 days ago

DEADLINE

in 17 days
NAICS: 524292
New
SLED
Third Party Claims Administration for County General Liability Insurance
Solicitation # 26-59
Montgomery County, Pennsylvania, is soliciting proposals for Third Party Claims Administration for its General Liability Insurance under solicitation number 26-59. The selected contractor will provide comprehensive claims administration, adjusting, and handling services, including the management of existing and new claims, online claim submission and database access, and coordination with the Excess Insurance carrier. The contract is for an initial three-year term with the possibility of extensions up to a total of five years. A critical transition period is established for January 1, 2027, by which the contractor must assume all current and new claims and complete the transfer of historical records. The contractor is required to assign one to four dedicated claim adjusters to the account and provide a Client Service Manager with at least 10 years of experience, specifically with self-insured public entities in Pennsylvania. Key operational requirements include the implementation of a robust cyber security plan with offsite network backups on a separate power grid to ensure business continuity. Pricing should be submitted as an annual flat fee, though an optional per-claim fee structure may be proposed. Proposals must be submitted via the Montgomery County Procurement Portal by October 20, 2026. Required documentation includes Appendix A submission forms, a current W-9, and a cost proposal. Evaluation will be based on the County's best interest, considering factors such as bidder experience, past performance, and delivery time. The contractor must maintain public liability, property damage, malpractice, and workers compensation insurance, and certify compliance with non-discrimination laws and ethical standards, including the absence of organizational conflicts of interest.
Montgomery County Pa

POSTED

6 days ago

DEADLINE

in 22 days
NAICS: 524292
New
SLED
Actuarial Services 2027-2032
Solicitation # 2026-18
The Central New York Regional Transportation Authority (CNYRTA) is soliciting proposals for professional actuarial services for a five-year term running from April 1, 2027, to March 31, 2032. The selected professional organization will be responsible for providing actuarial valuation reports for multiple plans, including the Salaried Employees Retirement Plan, the Non-Salaried Employees Retirement Plan, and the Centro of Oneida Non-Salaried Pension Plan. A primary deliverable is the calculation of the Actuarially Determined Employer Contribution (ADEC) for each fiscal year. All valuations must adhere to generally accepted actuarial principles and practices, and the providing actuaries must be members of the American Academy of Actuaries meeting its Qualification Standards. Proposals are due by October 14, 2026, at 1:00 PM EST via the Bonfire portal. The contract will be awarded based on best value, with evaluation factors prioritizing resource availability, personnel qualifications, overall strategy, and diversity practices. The agreement is governed by New York State law and includes standard clauses regarding the New York State Comptroller's approval for contracts exceeding 50,000 dollars and a ten-year record retention requirement. Payment is processed electronically in accordance with New York State Finance Law, with the Authority initiating payment within 30 days of receiving a proper invoice. Proposers must submit a comprehensive package including various certifications, an EEO staffing plan, and an MWBE utilization plan.
Centro

POSTED

6 days ago

DEADLINE

in 16 days
NAICS: 524292
New
SLED
Billing and Data Collection Services
Solicitation # STATE 0000000587SL
The State of Missouri, on behalf of the Department of Elementary and Secondary Education, is soliciting proposals for a Third-Party MO HealthNet Billing Agent. The selected vendor will be responsible for managing and submitting MO HealthNet claims for direct therapy services, School District Administrative Claiming, and transportation claims for the Missouri School for the Deaf and the Missouri Schools for the Severely Disabled. The contract is for an initial one-year period with the option for two additional one-year renewals. Proposals must be submitted electronically via MissouriBUYS by October 14, 2026. Award decisions are based on a 200-point system, split equally between cost and technical evaluations. The cost evaluation is based on firm, fixed percentages for billing claims and a fixed price for quarterly eligibility rate determinations. Technical scoring focuses on organizational experience, past performance, team qualifications, and the proposed methodology. Bonus points are available for vendors utilizing nonprofit organizations for the blind or those qualifying as Service-Disabled or Honorably Discharged Veteran Business Enterprises. Contractors must adhere to strict federal and state compliance standards, including OMB Uniform Administrative Requirements, the Drug Free Workplace Act, and E-Verify participation. The state reserves the right to require background checks and non-disclosure agreements for personnel and may request the removal of contractor staff without just cause. Payments are processed via electronic funds transfer within 30 calendar days of receiving a valid, itemized invoice.
PROC OA DIVISION OF PURCHASING PROCUREMENTS

POSTED

6 days ago

DEADLINE

in 16 days

AI Contract Overview

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The City of Austin is soliciting proposals to establish an exclusive 504 Physician Panel and to secure comprehensive workers compensation medical management services, including medical cost containment, case management, pharmacy benefits administration, and related information systems support. Contractors must be capable of delivering all services outlined in the scope of work with a focus on efficiency, compliance, and cost control for the city’s workers compensation program. The solicitation requires proven experience in managing complex medical networks and integrating technology solutions to streamline care delivery and reporting. Proposals are due by July 23, 2026, and interested Offerors should direct solicitation-specific questions to Sandra Wirtanen at the provided contact information. Questions regarding small and minority business resources should be directed to Lisa Barney. The city seeks a vendor capable of ensuring timely, high-quality medical services while maintaining strict adherence to regulatory standards and delivering measurable outcomes in claims management and cost savings. All services are to be performed in support of the City of Austin’s workers compensation program, with no geographic restrictions listed for performance location.

General Info

City of Austin seeks vendor for exclusive workers comp medical management with cost control and tech integration by July 23, 2026.

Documents

(12)

Offer Sheet for Solicitation RFP 5800 SLW3034

DOCX•offer-sheet

RFP 5800 SLW3034 Addendum 1 - Managed Care Services Clarifications and Extension

PDF•amendment

RFP 5800 SLW3034 Worker's Compensation Medical Management Service

XLSX•rfp

RFP 5800 SLW3034 Worker's Compensation Medical Management Service

XLSX•rfp

RFP 5800 SLW3034 - Worker's Compensation Medical Management Service

PDF•rfp

RFP 5800 SLW3034 - Worker's Compensation Medical Management Service

PDF•rfp

Exhibit A City of Austin Account Data for RFP

DOCX•exhibit

Exhibit B City Employee Residence Count by County and Zip Code

XLSX•other

Exhibit C Number of Bills by Specialty

DOCX•other

Exhibit D Fund Agency Report Finance

XLSX•other

Exhibit F Open Claims as of 093025

XLSX•other

Exhibit E Annual Loss Run Report

PDF

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Timeline

1 update
PhaseClosed
Posted

Solicitation

Deadline changed

Response deadline changed from Jul 23, 2026 to Jul 28, 2026.

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyTexas → City of Austin
Contacts2 people available
OfficeN/A
Organization / AgencyTexas → City of Austin
Office AddressN/A
Contacts
Lisa BarneySmall Minority Business Resources Questions

Full Description

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The City seeks Offerors able to administer an exclusive 504 Physician Panel, provide workers compensation medical cost containment, case management, pharmacy benefits management, information systems, and all other services described in the scope of work.

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