Medical Claims Processing and Third-Party Administrator Support

Past New Requirement Updated

Agency
Solicitation expected
Estimated value
$100,000,000
Set-aside
No set-aside

Forecast facts

Anticipated award
NAICS code
518210 Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
Place of performance
Multiple, DC
Forecast number
F2026072327

Forecast details come from DHS's Acquisition Planning Forecast System. Agencies' dates and values are estimates.

About this forecast

The forecasted federal contract opportunity is for medical claims processing and third-party administrator support services. The contractor will be required to provide a management system for medical claims processing, as well as third-party administrator support to receive, adjudicate, process, and pay healthcare claims. The contractor will also be responsible for managing accounting for all financial services, customer service support, and manual claims entry support. The estimated solicitation release date and award date is November 1, 2025.

The estimated award value range for this contract is $100,000,000. The contractor will be required to provide these services on an ongoing basis. The place of performance for this contract is not specified in the forecast.

Forecast text

The contactor will provide a management system for medical claims processing along with third party administrator support to receive, adjudicate, process, and pay healthcare claims as well as managing accounting for all financial services, customer service support, and manual claims entry support.

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