Federal and Postal Employee Health Benefit Independent Medical Review
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Key Takeaways
- No response deadline specified - contact the agency for details
- Set-aside for No Set Aside businesses
- Work to be performed in WASHINGTON, DC
- Industry: Administrative Management and General Management Consulting Services
Contract Details
- Notice ID
- 24322625Q0020
- Opportunity Type
- Presolicitation
- Sub-Agency
- OFFICE OF PERSONNEL MANAGEMENT
- Office
- OFFICE OF PERSONNEL MANAGEMENT
- Posted Date
- Tuesday, June 3, 2025
- Response Deadline
- Not specified
- PSC Code
- R499
- Set-Aside
- No Set Aside
- Place of Performance
- WASHINGTON, DC, 20415
- Status
- Active
Description
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. Tenta
Why This Opportunity Matters
OFFICE OF PERSONNEL MANAGEMENT is actively seeking qualified contractors for administrative management and general management consulting services with a set-aside for No Set Aside businesses in WASHINGTON, DC. This set-aside designation means eligible businesses face reduced competition from larger firms.
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