Claim Payment Integrity
| Location: |
Florida |
| Posted: |
Oct 24, 2025 |
| Due: |
Nov 7, 2025 |
| Agency: |
Hillsborough County Public Schools |
| Type of Government: |
State & Local |
| Category: |
- F - Natural Resources and Conservation Services
|
| Solicitation No: |
25583-RFP-DST |
| Publication URL: |
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Main
Agency
Hillsborough County Public Schools
Status
Active
Title
Claim Payment Integrity
Type
Request for Proposal
Department
Employee Benefits
Online Submissions
Yes
Project Estimate
Piggyback Solicitation
No
Insurance Required
No
Bid Bond Required
No
Bid Bond Amount
Performance Bond Required
No
Performance Bond Amount
Construction Bond Required
No
Construction Bond Amount
Scope of Services
The School Board of Hillsborough County, headquartered in Tampa, FL, and referred to throughout this document as HCPS is requesting quotes for claim payment integrity services effective on January 1, 2026. The total number of eligible employees as of August 2025 is approximately 24,328, of which 78.5% currently are enrolled in Medical/Rx coverage. Enrollment as of August 2025 includes 18,601 active employees, 44 COBRA participants, and 476 pre-65/post-65 retirees and surviving spouses for total enrollment of 19,121. Total medical/Rx membership is 22,543.
Dates(All times are listed as
EST
)
Broadcast Date
10/24/2025 4:00 PM EST
Question End Date
10/31/2025 12:00 PM EST
Due Date
11/7/2025 12:00 PM EST
Bid Opening Date
Pre-Bid Meetings
Total: 0
(All times are listed as
EST
)
|
Date
|
Time
|
Mandatory
|
Location
|
Shortlist Meeting
Total: 0
(All times are listed as
EST
)
Documents
Total: 6
|
Type
|
Name
|
Description
|
File Type
|
|
|
All Bid Types
|
Vendor Registration Form 07.10.25.pdf
|
Vendor Registration/Substitute W-9
|
PDF
|
|
|
All Bid Types
|
CONTRACTING WITH ENTITIES OF FOREIGN COUNTRIES OF CONCERN PROHIBITED AFFIDAVIT.pdf
|
CONTRACTING WITH ENTITIES OF FOREIGN COUNTRIES OF CONCERN PROHIBITED AFFIDAVIT
|
PDF
|
|
|
All Bid Types
|
STATEMENT OF NO BID.pdf
|
Statement of No Bid
|
PDF
|
|
|
Attachment
|
25583-RFP HCPS Claim Payment Integrity RFP and Questionnaire 10.23.25 updated 1.xlsx
|
25583-RFP HCPS Payment Integrity Questionnaire
|
Excel
|
|
|
Attachment
|
SBEP Participation Requirements and Updated Contract Language to PRC 10.13.25.pdf
|
SMALL BUSINESS ENCOURAGEMENT PROGRAM (SBEP)
|
PDF
|
|
|
Request for Proposal
|
25583-RFP-DST Claim Payment Integrity P 1.pdf
|
25583-RFP-DST Claim Payment Integrity
|
PDF
|
|
Quote/Bid
Quote/Bid Items
Total: 0
|
#
|
Required
|
Group
|
Make
|
Model
|
Description
|
Quantity
|
Unit of Measure
|
Price/ Percent
|
Type
|
Additional Quote/Bid Items Fields
Display Options Spreadsheet Section
|
No
|
Display Image and Specifications Hyperlink Fields
|
No
|
Display Build Sheet File Upload Field
|
No
|
Display Options File Upload Field
|
No
|
Require Build Sheet File to be Uploaded
|
No
|
Require Options File to be Uploaded
|
No
|
Display Lead Time Field
|
No
|
Display Standard Packaging Field
|
No
|
Delivery Date
None
Required Files to be Uploaded by the Vendor
None
Shipping
None
Terms and Conditions
None
Include Shipping in Price of Items
No
Display Bid Tabulation to Vendors
No
Display Vendor Submissions to Vendors
No
View Vendor Submissions while Bid Solicitation is Active
No
Allow Options File to be Updated after Due Date
No
Allow Post Due Date Submission
No
Questions & Answers
Total: 0
|
Question
|
Date Asked
|
Answer
|
Date Answered
|
Commodity Codes
Total: 19
|
Code
|
Description
|
|
[953-27]
|
Insurance Claims Processing Services
|
|
[961-16]
|
Claims Processing Services
|
|
[918-69]
|
Insurance Consulting
|
|
[946-10]
|
Accounting and Billing Services (Including Payroll Services, 3rd Party Reimbursement for Medicare, Medicaid, Private Insurance, etc)
|
|
[953-48]
|
Health/Hospitalization (Including Dental and Visual Insurance)
|
|
[953-52]
|
Insurance and Insurance Services (Not otherwise classified)
|
|
[953-63]
|
Life Insurance
|
|
[953-78]
|
Receiver Services, Special Deputy (Insurance)
|
|
[953-79]
|
Reinsurance Services
|
|
[953-80]
|
Retirement Benefit Plan Insurance
|
|
[953-91]
|
Unemployment Insurance
|
|
[958-61]
|
Insurance and Risk Management Services
|
|
[918-40]
|
Employee Benefits Consulting
|
|
[946-10]
|
Accounting and Billing Services (Including Payroll Services, 3rd Party Reimbursement for Medicare, Medicaid, Private Insurance, etc)
|
|
[918-90]
|
Strategic Technology Planning and Consulting Services
|
|
[918-66]
|
Human Resources Consulting Services
|
|
[946-12]
|
Actuarial Services and Retirement Planning
|
|
[918-85]
|
Personnel/Employment Consulting (Human Resources)
|
|
[918-32]
|
Consulting Services (Not Otherwise Classified)
|
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* Disclaimer: Information regarding bids, requests for proposals (RFPs), or requests for qualifications (RFQs) is provided on this website only for convenience and does not constitute official public notice. Persons wishing to respond to or inquire about bids, RFPs, or RFQs should contact the appropriate government department.