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A government agency in Texas issued “Claims Audit Services” (RFP). Solicitation ACCT-1116 closed on July 17, 2026. Eligibility: Only for USA Organization. Submissions via Email.
The Vendor is required to provide to conduct medical claim audit services, prescription drug claim audit services, pharmacy rebate audit services, and clinical validation review services.
- Services:
• Medical Claim Audit Services
• Prescription Drug Claim Audit Services and Pharmacy Rebate Audit Services
• Clinical Validation Review Services
• Optional and/or Supplemental Services
- Determine whether claims payments are accurate, allowable, adjudicated, and paid in accordance with contractual arrangements. This includes out-of-network and emergency claims.
- Auditing, identify any claims processing problems or areas, including but not limited to, coordination of benefits (“COB”), detection of fraudulent claims, duplicate claims, overcharging by providers, and unnecessary services in need of further review or audit.
Ask any question about the RFP and its amendments. Instantly surface schedules, deliverables, compliance items, evaluation criteria, and budget details with 100% source-backed answers.
Quick answers about deadlines, eligibility and submission for this solicitation.
No. This opportunity (ACCT-1116) closed on July 17, 2026. See similar open RFPs below.
A government agency in Texas. The buyer's contact and submission details are in the solicitation documents.
Only for USA Organization.
Submissions are accepted via Email. Follow the instructions in the solicitation documents.
Contract term: 3 years.
Yes: Non Mandatory on June 25, 2026.
Questions and inquiries must be submitted by July 1, 2026.
Yes. After purchase, with a subscription or during a free trial, the RFPPlanet AI Assistant answers questions sourced from this RFP’s documents, such as requirements, evaluation criteria and key dates.
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