Comprehensive Medical Services

The government authority located in Pollock, Louisiana, is seeking a contractor to provide comprehensive medical services for inmates. The agency needs to solve the logistical challenge of securing timely specialty care and managing the associated medical billing and reporting. The scope of work covers scheduling specialty care appointments, managing medical claims, and providing annual billing estimates alongside laboratory, treatment, and discharge reports. For specialty care, the agency requires appointments to be available within fourteen calendar days from the date of referral to the specialty provider whenever possible. The billing workflow requires the submission of medical claims within ninety calendar days after an inmate's discharge, outpatient encounter, or other service. Corrected claims must be resubmitted within thirty calendar days from the date of rejection. Only onshore organizations based in the United States are eligible to bid on this opportunity. The agency requires all performance of the work to occur offsite at the contractor's own office premises. The agency is currently looking for proposals to determine the budget and has not disclosed specific evaluation criteria or key dates in the initial solicitation.