T3107 Chapter 32 Arbitration Services-DOBI

The State of New Jersey Department of Banking and Insurance (DOBI) is soliciting bids for Chapter 32 Arbitration Services (Bid Solicitation No. 26DPP01257) to provide arbitration services for payment disputes between out-of-network healthcare providers and carriers pursuant to the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act. The procurement seeks a single qualified arbitration entity to manage both Initial Review and Completed Review arbitration services, with an estimated annual volume of 5,500 units per service type. Successful bidders must demonstrate a minimum of three years' experience in healthcare pricing arbitration on behalf of state or federal government agencies, employ or contract with a New Jersey-licensed medical director, and maintain access to healthcare pricing benchmark data including FAIR Health Charge Benchmark, FAIR Health Allowed Benchmark, and Medicare data. Key deliverables and responsibilities include completing eligibility reviews within seven calendar days of request, issuing arbitration decisions within 30 calendar days of receiving complete documentation, providing monthly and annual reporting in Excel format, and submitting monthly invoices based on fees collected from initiating and responding parties. The contractor must establish firm-fixed pricing for all three years of the base contract term with potential extensions up to three additional one-year periods at equivalent or more favorable rates. The electronic question and answer period closes at 2:00 p.m. on April 2, 2026, with quotes due by 2:00 p.m. on May 28, 2026. An optional pre-quote conference is scheduled for March 26, 2026 at 10:00 a.m., and no mandatory site visit is required.

There are no small business, women-owned, minority-owned, veteran-owned, or disabled veteran-owned business set-asides for this procurement, though vendors are encouraged to partner with such entities. No incumbent vendor or current contractor information is identified in the solicitation documents. The contract does not specify estimated contract values or budget ranges; however, pricing is contingent upon the bidder's ability to deliver services at quoted rates throughout the contract period, with the State making no commitment regarding actual volumes or dollar amounts. All bidders must comply with comprehensive mandatory requirements including submission of an Ownership Disclosure Form, Subcontractor Utilization Plan (if applicable), Technical Quote, Management Overview, Mobilization Plan, State-Supplied Price Sheet (completed with no blank lines or formatting changes), Affirmative Action Compliance documentation, Business Registration Certificate, and Third-Party Information Security Questionnaire. Insurance requirements are substantial, including professional liability insurance of at least $3,000,000 per occurrence and cyber breach insurance of at least $2,000,000 per occurrence, along with Commercial General Liability ($1,000,000 minimum) and Automobile Liability ($1,000,000 minimum) coverage. The State of New Jersey Standard Terms and Conditions, effective June 3, 2025, establish the mandatory contractual framework, including cybersecurity incident reporting within 72 hours to the New Jersey Office of Homeland Security and Preparedness and data protection requirements mandating encryption and U.S.-only data center locations.