Procurement Summary
Country : USA
Summary : Federal and Postal Employee Health Benefit Independent Medical Review
Deadline : 15 Jul 2025
Other Information
Notice Type : Tender
TOT Ref.No.: 121974642
Document Ref. No. : 24322625Q0020HI
Financier : Self Financed
Purchaser Ownership : Public
Tender Value : Refer Document
Purchaser's Detail
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Login to see detailsTender Details
Description
The contractor will provide medical and dental health benefits reviews of disputed claims and preservice requests (prior approval, prior authorization or precertification), consultation services, and special projects. The Office of Personnel Management (OPM) will determine the medical specialist category for each disputed claim and the Contractor will assign a medical specialist (Coding Specialist, M.D., D.O., D.D.S., or D.M.D.) appropriate for each disputed claim. The medical specialist will review the available case documentation for different categories of disputed medical services and will provide the Government a typewritten review analyses resulting from the evaluation of the case file in addition to a paper or electronic copy of all references cited in support of the analyses.
Active Contract Opportunity
Notice ID : 24322625Q0020HI
Related Notice : 24322625Q0020
Department/Ind. Agency : OFFICE OF PERSONNEL MANAGEMENT
Sub-tier : OFFICE OF PERSONNEL MANAGEMENT
Office: OFFICE OF PERSONNEL MANAGEMENT
General Information
Contract Opportunity Type: Solicitation (Updated)
Updated Published Date: Jul 02, 2025 02:09 pm EDT
Original Published Date: Jun 10, 2025 01:46 pm EDT
Updated Date Offers Due: Jul 15, 2025 11:00 am EDT
Original Date Offers Due: Jul 10, 2025 11:00 am EDT
Inactive Policy: 15 days after date offers due
Updated Inactive Date: Jul 30, 2025
Original Inactive Date: Jul 25, 2025
Initiative: None
Classification
Original Set Aside: No Set aside used
Product Service Code: R499 - SUPPORT- PROFESSIONAL: OTHER
NAICS Code: 541611 - Administrative Management and General Management Consulting Services
Place of Performance: Washington, DC USA
Documents
Tender Notice
Sol_24322625Q0020_Amd_0002.pdf
Sol_24322625Q0020_Amd_0001.pdf
Solicitation-Amendment-Instructions-to-Offerors.pdf
Questions-and-Answers.xlsx
24322625Q0020.pdf
Performance-Work-Statement.pdf
FPR-Pricing-Spreadsheet-Final.xlsx
2025-FEHB-PSHB-Plans.xlsx
Medical_Review_Format.pdf
OPM_ExpertBio_Attachment.pdf
IRO-Specialty-List.xlsx
QASP.pdf