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A government agency in Pennsylvania issued “Workers’ Compensation Claims Audits Services” (RFP). Solicitation TPA-0632 closed on July 10, 2026. Eligibility: Only for USA Organization. Submissions via Online Portal.
The Vendor is required to provide workers’ compensation claims audits to provide an audit of the city’s indemnity and medical payments issued by its third-party administrator (TPA).
- Auditor shall conduct a fully electronic screening of claims of a targeted, random sample size of 350 claims per fiscal year to ensure 95% statistical confidence (+/- 5%) in key indicators.
- Auditor shall identify non-compliance with workers’ compensation rules and procedures and city regulations.
- Auditor shall provide bi-weekly reports detailing number of claims reviewed and overpayments, irregularities or issues identified at that point.
- Comprehensive report at the conclusion of the review, identifying overpayments, duplicate payments, payment irregularities, operational inefficiencies, and actionable recommendations.
- Auditor must provide a corrective action plan for all identified errors within 180 days of assignment.
- The auditor must be independent of the current TPA and maintain the confidentiality of phi and financial data.
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Quick answers about deadlines, eligibility and submission for this solicitation.
No. This opportunity (TPA-0632) closed on July 10, 2026. See similar open RFPs below.
A government agency in Pennsylvania. The buyer's contact and submission details are in the solicitation documents.
Only for USA Organization.
Submissions are accepted via Online Portal. Follow the instructions in the solicitation documents.
Estimated budget: $160,000. Contract term: 1 year.
Questions and inquiries must be submitted by June 22, 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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