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2 state, local & education solicitations AI-tagged as Medical Necessity Review.
AI Summary
SUNY Upstate Medical University seeks an Independent Review Organization to review denied medical claims focusing on medical necessity and DRG reassignment. The contract is discretionary up to $125,000 with a fee structure based on lost cases only.
new york · new york
DEPARTMENT OF HEALTH AND HUMAN SERVICES - DHHS
AI Summary
The North Carolina Department of Health and Human Services is seeking a qualified partner to administer its Fraud, Waste, and Abuse program. Responsibilities include claims reviews, data analytics, medical necessity reviews, investigations, and auditing activities. The RFP is open for bids starting May 8, 2025, with pu…
north carolina · north carolina
Common questions about finding and winning Medical Necessity Review government contracts.