Closed Solicitation · OFFICE OF PERSONNEL MANAGEMENT
AI Summary
The Office of Personnel Management is seeking a contractor to provide independent medical and dental health benefit reviews for disputed claims and preservice requests. The contractor will assign qualified medical specialists to evaluate case documentation and deliver typewritten analyses along with supporting references. The solicitation is expected to be released on June 9, 2025, and there are no small business set-asides for this opportunity.
The contractor will provide medical and dental health benefits reviews of disputed claims and preservice requests (prior approval, prior authorization or precertification), consultation services, and special projects. The Office of Personnel Management (OPM) will determine the medical specialist category for each disputed claim and the Contractor will assign a medical specialist (Coding Specialist, M.D., D.O., D.D.S., or D.M.D.) appropriate for each disputed claim. The medical specialist will review the available case documentation for different categories of disputed medical services and will provide the Government a typewritten review analyses resulting from the evaluation of the case file in addition to a paper or electronic copy of all references cited in support of the analyses.
Tentative date for solicitation release: 6/9/2025
Small business set-aside: None/unrestricted
FEDERAL AND POSTAL EMPLOYEE HEALTH BENEFIT INDEPENDENT MEDICAL REVIEW is a federal acquisition solicitation issued by OFFICE OF PERSONNEL MANAGEMENT. Review the full description, attachments, and submission requirements on SamSearch before the response deadline.
SamSearch Platform
AI-powered intelligence for the right opportunities, the right leads, and the right time.