DOL's Medical Provider Network/Medical Bill Processing Requirement Sources Sought Notice

Sources Sought/Request for Information:

Medical Provider Network/Medical Bill Processing Services for the Department of Labor’s (DOL) Office of Workers’ Compensation Programs (OWCP)

SOURCES SOUGHT/REQUEST FOR INFORMATION

This is NOT A SOLICITATION for proposals, proposal abstracts, or quotations; nor is it a commitment by the Government to issue a solicitation. No reimbursement or stipend will be provided in response to this Sources Sought notice / Request for information (SSN/RFI). The purpose of this SSN/RFI is to verify qualified sources.

Since time has passed since a previous RFI, the Department of Labor's Office, Office of the Senior Procurement Executive (OSPE) on behalf of the Workers' Compensation Programs (OWCP), is seeking interested sources and requesting information to evaluate current industry capabilities for Medical Provider Network/Medical Bill Processing Services.

The Contractor shall provide a nationwide medical provider network and medical bill processing services to ensure timely and accurate medical bill adjudication and provision of medical services, minimize service interruptions and delays, and maximize claimant satisfaction.

The contractor shall provide qualified personnel to perform all requirements. The contractor shall provide access to qualified providers possessing up-to-date licensing and/or certifications in keeping with any standards for their profession and location of practice. Contractor employees must be able to read, write, speak, and understand English fluently, and must be a citizen or legal resident of the United States. All contractor staff assigned to perform in accordance with this contract are subject to Government security requirements, review, and approval. The contractor is responsible for maintaining and enhancing the skills of contractor staff.

REQUESTED INFORMATION:

Provide a company description, an in-depth description of company capabilities, and a general summary of the approach to accomplishing the requirements.

Descriptions of services should include the length of time (with dates) during which exact or similar services were provided and to whom (names of public or private entities and the city/state in which performance occurred).

Furthermore, please address the following questions:

1. Describe your understanding of the requirement to accomplish the requirement identified in the RFI/SSN.
2. Describe any subcontracts that will be needed in the performance of the requirements, along with the intended subcontract management process.
3. If applicable, list any issues that may limit a company’s ability to perform services.
4. If applicable, specify any joint venture or other teaming arrangement recognized by the Small Business Administration (SBA) to satisfy the requirement

WHO MAY RESPOND:

Interested vendors may respond.  The North American Industry Classification System (NAICS) codes for this requirement are:

524298 - All Other Insurance Related Activities

524292 - Third Party Administration of Insurance and Pension Funds

524114 - Direct Health and Medical Insurance Carriers

621111 - Office of Physicians (except Mental Health Professionals)

SUBMISSION INSTRUCTIONS:

1. All interested parties are required to submit required information in Times New Roman 11-point or 12-point font with 1-inch margins minimum all around, not to exceed 15 pages in PDF format.

The Capabilities Statement must include the following information:

1. 1. RFI Number & Project Title for historical record.
   2. Company name and point of contact (POC) to include individual’s name, title, work and/or mobile telephone number(s), and email address.
   3. Date submitted for historical record.
   4. Business Size, Socio-economic status
   5. GSA contract, if applicable
   6. Unique Entity ID Number and CAGE code for business type verification
   7. Response to RFI/SSN Questions
   8. Any general feedback and/or applicable information your firm would like to provide.

Please email your SSN/RFI responses to the Contracting Officer, Emily Bear (bear.emily.e@dol.gov) and the Contract Specialist, Jeremy Keator (keator.jeremy.b@dol.gov).

The subject line of the email must read: “Response to RFI DOL MPN/MBP (Your Company’s Name, which may be abbreviated)”. Example: Response to SSN/RFI DOL MPN/MBP (XYC Inc.).

E-mails that do not contain the specified subject line may run the risk of being overlooked.

ALL SUBMISSIONS ARE DUE by Wednesday, January 12, 2026, at 12:00 PM ET.

Sources Sought/Request for Information:

Medical Provider Network/Medical Bill Processing Services for the Department of Labor’s (DOL) Office of Workers’ Compensation Programs (OWCP)

SOURCES SOUGHT/REQUEST FOR INFORMATION

This is NOT A SOLICITATION for proposals, proposal abstracts, or quotations; nor is it a commitment by the Government to issue a solicitation. No reimbursement or stipend will be provided in response to this Sources Sought notice / Request for information (SSN/RFI). The purpose of this SSN/RFI is to verify qualified sources.

Since time has passed since a previous RFI, the Department of Labor's Office, Office of the Senior Procurement Executive (OSPE) on behalf of the Workers' Compensation Programs (OWCP), is seeking interested sources and requesting information to evaluate current industry capabilities for Medical Provider Network/Medical Bill Processing Services.

The Contractor shall provide a nationwide medical provider network and medical bill processing services to ensure timely and accurate medical bill adjudication and provision of medical services, minimize service interruptions and delays, and maximize claimant satisfaction.

The contractor shall provide qualified personnel to perform all requirements. The contractor shall provide access to qualified providers possessing up-to-date licensing and/or certifications in keeping with any standards for their profession and location of practice. Contractor employees must be able to read, write, speak, and understand English fluently, and must be a citizen or legal resident of the United States. All contractor staff assigned to perform in accordance with this contract are subject to Government security requirements, review, and approval. The contractor is responsible for maintaining and enhancing the skills of contractor staff.

REQUESTED INFORMATION:

Provide a company description, an in-depth description of company capabilities, and a general summary of the approach to accomplishing the requirements.

Descriptions of services should include the length of time (with dates) during which exact or similar services were provided and to whom (names of public or private entities and the city/state in which performance occurred).

Furthermore, please address the following questions:

1. Describe your understanding of the requirement to accomplish the requirement identified in the RFI/SSN.
2. Describe any subcontracts that will be needed in the performance of the requirements, along with the intended subcontract management process.
3. If applicable, list any issues that may limit a company’s ability to perform services.
4. If applicable, specify any joint venture or other teaming arrangement recognized by the Small Business Administration (SBA) to satisfy the requirement

WHO MAY RESPOND:

Interested vendors may respond.  The North American Industry Classification System (NAICS) codes for this requirement are:

524298 - All Other Insurance Related Activities

524292 - Third Party Administration of Insurance and Pension Funds

524114 - Direct Health and Medical Insurance Carriers

621111 - Office of Physicians (except Mental Health Professionals)

SUBMISSION INSTRUCTIONS:

1. All interested parties are required to submit required information in Times New Roman 11-point or 12-point font with 1-inch margins minimum all around, not to exceed 15 pages in PDF format.

The Capabilities Statement must include the following information:

1. 1. RFI Number & Project Title for historical record.
   2. Company name and point of contact (POC) to include individual’s name, title, work and/or mobile telephone number(s), and email address.
   3. Date submitted for historical record.
   4. Business Size, Socio-economic status
   5. GSA contract, if applicable
   6. Unique Entity ID Number and CAGE code for business type verification
   7. Response to RFI/SSN Questions
   8. Any general feedback and/or applicable information your firm would like to provide.

Please email your SSN/RFI responses to the Contracting Officer, Emily Bear (bear.emily.e@dol.gov) and the Contract Specialist, Jeremy Keator (keator.jeremy.b@dol.gov).

The subject line of the email must read: “Response to RFI DOL MPN/MBP (Your Company’s Name, which may be abbreviated)”. Example: Response to SSN/RFI DOL MPN/MBP (XYC Inc.).

E-mails that do not contain the specified subject line may run the risk of being overlooked.

ALL SUBMISSIONS ARE DUE by Wednesday, January 12, 2025, at 12:00 PM ET.