Inmate Medical Claims and Pharmacy Cost Administration Services
- Client
- Colorado
- RFP Number
- MB-10536
- Posted
- 10/8/2026
- Category
- Medical Billing and Coding
- Budget
- Looking for Proposals
- NAICS
- —
- Set-aside
- —
- Contact
- —
Description
AI GeneratedThe buyer requires a vendor to deliver inmate medical claims and pharmacy cost administration services both onsite and offsite. Scope requirements include reviewing medical bills for accuracy, identifying improper charges, repricing claims, coordinating payments, reviewing pharmacy invoices, providing medication repricing, and delivering itemized savings reports while securely handling protected health information. Only United States organizations are eligible to submit proposals for this opportunity. Applicants can submit their responses digitally through email or online, and the buyer is actively seeking proposal submissions to determine the budget.
Key solicitation details
AI-extracted from NPSS1 RBAA 2027-0064 Updated.pdf. Confirm against the original documents before bidding.
- How to submit
- Digitally via Email or Online
- Submission details
- Submit to [email protected]
- Place of performance
- Onsite and offsite
Scope of work
- Review outside medical bills for billing and coding accuracy
- Identify duplicate, improper, or ineligible charges
- Reprice or negotiate outside medical claims when appropriate
- Coordinate provider payments and resolve billing questions
- Review medication and pharmacy invoices for accuracy and potential savings
- Provide medication repricing, pharmacy purchasing, or other pharmacy cost-management services, if available
- Provide itemized invoices and reports showing billed charges, provider payments, pharmacy costs, vendor fees, and agency savings
- Securely handle protected health information and execute an appropriate Business Associate Agreement
Minimum qualifications
- Onshore (USA Organization Only)
Documents to include with the bid
- Sole Source Request form
- Documentation to support request as attachments
- Documentation of Price Reasonableness
Verify important details
Document checkConfirm submission instructions and amendments with the issuing agency before responding.
Personalized fit score
Sign up free to see how well this opportunity fits your company — based on your saved profile.
Sign up to see your fit score