T2471 - Arbitration and Mediation Services, Claims Arbitration

The State of New Jersey Department of the Treasury Division of Purchase and Property, on behalf of the Department of Banking and Insurance (DOBI), has issued a Request for Proposal (RFP) for Arbitration and Mediation Services: Claims Arbitration. The contract opportunity is for providing binding arbitration services as required by the Health Claims Authorization, Processing and Payment Act for the jurisdictions of Mercer County and Trenton City. The RFP outlines the vendor requirements, including the capacity to accept requests and fees electronically, completing reviews of arbitration requests, conducting arbitration proceedings, issuing determinations within 30 days, and processing payments. Vendors must meet specified timeframes, aggregated dispute amounts, and eligibility criteria. The deliverables include templates, statistical reports, and compliance with HIPAA and the Balanced Budget Act. Pricing will be evaluated as part of the proposal assessment.

This contract opportunity has been designated as a Small Business Subcontracting Set-Aside, and vendors must be registered with the N.J. Division of Revenue and Enterprise Services, Small Business Registration and M/WBE Certification Services Unit. The RFP does not specify any incumbent vendors or current contractors for this service. The total contract value is not provided, but the pricing terms include firm fixed prices per unit for the initial review and completed arbitration services over a 3-year period.