Federal Employees Health Benefits (FEHB) Medical Review
Closed Pre-Solicitation Posted
- Solicitation number
- SP-HI-242509
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- Not on record
- PSC
- Not on record
- Place of performance
- Alexandria, District of Columbia, United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Office of Personnel Management seeks qualified vendors to provide medical claim reviews for the Federal Employees Health Benefits program. Vendors must have experience reviewing medical claims and determinations of medical necessity, and the ability to complete standard reviews within seven business days and expedited reviews within three days. Responses are due February 26, 2024 to be considered, and vendors should demonstrate experience with NAICS code 524298.
There is no set-aside designated for this procurement. The work statement details advisory medical reviews of disputed health insurance claims across categories including claim coding, medical necessity, and assessments of experimental or custodial care claims. Reviews must be conducted by licensed and specialty certified physicians and dentists. Contractors must select objective medical specialists and report performance metrics to ensure quality control.
Notice text
The U.S. Office of Personnel Management (OPM) is seeking to identify qualified sources which can provide medical claim reviews for OPM's FEHB program under North American Industry Classification System(NAICS) code 524298,
Please see the attached Sources Sought Notice and PWS for full details.
OPM encourages interested vendors to follow this notice to receive notification from beta.sam.gov when information is added.
DISCALIMER: This sources sought notice is for market research purposes only and IS NOT A REQUEST FOR PROPOSAL(RFP) nor does it restrict the Government as to its ultimate acquisition approach. The Government will not reimburse respondents for any costs incurred in preparation of a response to this notice.
Files
| File | Type | Posted |
|---|---|---|
| SSN Details _FEHB_.pdf | ||
| DRAFT PWS _FEHB.pdf |
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