Federal and Postal Employee Health Benefit Independent Medical Review

Location: District of Columbia
Posted: Jun 10, 2025
Due: Jul 10, 2025
Agency: OFFICE OF PERSONNEL MANAGEMENT
Type of Government: Federal
Category:
  • R - Professional, Administrative and Management Support Services
Solicitation No: 24322625Q0020HI
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Federal and Postal Employee Health Benefit Independent Medical Review
Active
Contract Opportunity
Notice ID
24322625Q0020HI
Related Notice
24322625Q0020
Department/Ind. Agency
OFFICE OF PERSONNEL MANAGEMENT
Sub-tier
OFFICE OF PERSONNEL MANAGEMENT
Office
OFFICE OF PERSONNEL MANAGEMENT
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General Information
  • Contract Opportunity Type: Solicitation (Original)
  • Original Published Date: Jun 10, 2025 01:46 pm EDT
  • Original Date Offers Due: Jul 10, 2025 11:00 am EDT
  • Inactive Policy: 15 days after date offers due
  • Original Inactive Date: Jul 25, 2025
  • Initiative:
    • None
Classification
  • Original Set Aside: No Set aside used
  • Product Service Code: R499 - SUPPORT- PROFESSIONAL: OTHER
  • NAICS Code:
    • 541611 - Administrative Management and General Management Consulting Services
  • Place of Performance:
    Washington , DC
    USA
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.


Attachments/Links
Contact Information
Contracting Office Address
  • FED INVESTIGATIVE SERVICES - TRB 1900 E STREET NW, ROOM 2H31
  • WASHINGTON , DC 20415
  • USA
Primary Point of Contact
Secondary Point of Contact


History

Related Document

Jul 1, 2025[Solicitation (Updated)] Federal and Postal Employee Health Benefit Independent Medical Review
Jul 2, 2025[Solicitation (Updated)] Federal and Postal Employee Health Benefit Independent Medical Review
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