Township of Hamilton Medical Claims Auditing Services for Aetna Meritain

The Township of Hamilton seeks an onshore USA organization to provide professional insurance claims auditing services for a one-year contract term. The selected vendor will audit the accuracy of medical claims adjudicated by Aetna Meritain for approximately 1,920 members during the 2024–2025 plan years, performance of which may be completed onsite or offsite. The final report must determine whether claim payments are properly administered and recommend actions to recover overpayments, improve compliance, and reduce program costs. Only USA-based organizations are eligible to bid. Applicants must submit their proposals online at https://hamiltonnj.ionwave.net, where they will be opened and publicly read on Thursday, October 22, 2026, at 10:00 AM. All questions regarding the opportunity must be submitted no later than November 04, 2026. Proposals must include organizational characteristics, firm experience, client references, implementation plans, HIPAA security policies, and a contingency-based fee proposal.