Self-Funded Medical and Prescription Plan Audit Services

The City of Norwich, Connecticut has issued Request for Proposal (RFP) #25-47 seeking a vendor to perform comprehensive audit services for self-funded medical and prescription plans. The solicitation specifically requires a qualified vendor to audit the accuracy of claims from up to four medical plans and four prescription drug plans, with the primary objective of identifying potential billing errors, overcharges, or improper claim processing. The RFP is structured with a precise timeline: the solicitation opens on November 26, 2024, at 2:00 PM EST and closes on December 24, 2024, at 2:00 PM EST. A dedicated vendor Q&A period is scheduled from December 10, 2024, at 4:30 PM EST through December 24, 2024, at 1:45 PM EST, allowing potential bidders to seek clarification on the requirements. The delivery terms are specified as Free On Board Destination, with payment terms to be defined by the vendor. Interested parties should submit their proposals to Robert Castronova, the primary contact located at 100 Broadway Room 105, Norwich CT, 06360, who can be reached at 860-823-3770 or rcastronova@cityofnorwich.org.

The RFP appears to be open to all vendors without specific set-aside designations or restrictions on organizational types. No incumbent vendor information is provided in the documentation, and there are no explicit details about existing infrastructure or technology integration requirements. The solicitation has been designated as having no line items, and no estimated total value is disclosed in the available documents. While the specific evaluation criteria are not explicitly outlined in the provided materials, vendors can expect to be assessed on their capability to conduct thorough and accurate medical and prescription plan claim audits. The lack of a defined budget range suggests that the City of Norwich is seeking competitive proposals that demonstrate comprehensive audit capabilities and potential cost savings through identifying billing discrepancies. Potential bidders should be prepared to demonstrate their expertise in claims auditing, healthcare billing analysis, and their ability to provide detailed, actionable findings from their audit process.