Administrative Services for Medical, Pharmacy, Stop Loss, Dental, Vision Benefit Plans
- Client
- Virginia
- RFP Number
- MB-10516
- Posted
- 10/3/2026
- Category
- Medical Billing and Coding
- Budget
- Looking for Proposals
- NAICS
- —
- Set-aside
- —
- Contact
- —
Description
AI GeneratedThe buyer requires administrative services for county self-funded medical, pharmacy, stop loss, dental, and vision benefit plans. The requested scope includes claims adjudication and payment, claims appeals, prior authorizations, call center operations, regulatory compliance support, utilization management, and coordination with County systems. Only onshore United States organizations are eligible to bid, and the contractor will perform all work offsite. Vendors can submit responses digitally by email or online, and they must submit all questions no later than November 10, 2026.
Key solicitation details
AI-extracted from Albemarle_County_Solicitation_Notice.pdf. Confirm against the original documents before bidding.
The County of Albemarle is seeking vendors to provide administrative services for medical, pharmacy, stop loss, dental, and vision benefit plans. Services include claims adjudication, call center operations, utilization management, and compliance support. Eligibility is restricted to onshore USA organizations.
- Issued by
- County of Albemarle
- Questions due
- Nov 10, 2026
- How to submit
- Digitally via Email or Online
- Place of performance
- Offsite
Scope of work
- Medical administration services including claims adjudication and payment administration
- Claims appeals, coordination of benefits, prior authorization administration, and ACA-required external appeals
- Dedicated toll-free member service number and call center operations with US-based representatives
- Compliance support for HIPAA, Transparency in Coverage, Mental Health Parity, and No Surprises Act
- Dedicated implementation manager, team, and mutually agreed project plan
- Coordination with County payroll, HR, and benefit administration systems
- Utilization, case, disease management, and care coordination
- Population health programs, digital engagement tools, predictive analytics, and care gap identification
Minimum qualifications
- Must be an onshore USA organization
- Must be a registered vendor for the County prior to contract award or purchase order issuance
- Customer service representatives based in the States during standard business hours
Source and verification
Cached documentsCraxy AI summarizes this opportunity from the source listing and available solicitation documents. Confirm submission instructions and amendments with the issuing source before responding.
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