Federal and Postal Employee Health Benefit Independent Medical Review
SAM.GOV Due: August 15, 2025 at 12:00 AM UTC
In-Active Presolicitation NONE Source Url

Summary

The opportunity for the Federal and Postal Employee Health Benefit Independent Medical Review involves providing medical and dental health benefits reviews for disputed claims and preservice requests. The contractor will be responsible for consulting services and special projects as determined by the Office of Personnel Management (OPM). Each disputed claim will be assigned a medical specialist, such as a Coding Specialist, M.D., D.O., D.D.S., or D.M.D., who will review the case documentation and provide a typewritten analysis along with supporting references. This opportunity is suitable for contractors with expertise in medical review processes and a strong understanding of health benefits claims.
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

Entities
OOPM
Office of Personnel Management
NAICS
541611
Set Aside
NONE : No Set aside used
Place of Performance
Washington , District of Columbia
Point of Contact
Full Name Email Phone Type
Matthew Manning [email protected] primary