Federal and Postal Employee Health Benefit Independent Medical Review
SAM.GOV Due: July 15, 2025 at 03:00 PM UTC
In-Active Solicitation NONE Source Url

Summary

The Federal and Postal Employee Health Benefit Independent Medical Review opportunity involves providing medical and dental health benefits reviews for disputed claims and preservice requests. The contractor will be responsible for assigning qualified medical specialists to review case documentation and deliver typewritten analyses to the Office of Personnel Management (OPM). This work requires a contractor with expertise in medical review processes, familiarity with health insurance claims, and the ability to provide unbiased, evidence-based opinions. Businesses with experience in healthcare consulting, particularly those with access to certified medical professionals, should consider bidding on this opportunity.
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
Attachments
  • QASP.pdf
  • FPR+Pricing+Spreadsheet+-+Final.xlsx
  • IRO+Specialty+List.xlsx
  • 24322625Q0020.pdf
  • Medical_Review_Format.pdf
  • Performance+Work+Statement.pdf
  • OPM_ExpertBio_Attachment.pdf
  • 2025+FEHB++PSHB+Plans.xlsx
  • Solicitation+Amendment+-+Instructions+to+Offerors.pdf
  • Questions+and+Answers.xlsx
  • Sol_24322625Q0020_Amd_0001.pdf
  • Sol_24322625Q0020_Amd_0002.pdf