New Jersey START #26DPP01227

New Jersey Seeks Independent Utilization Review Organization for Health Care Appeals Program

The State of New Jersey's Division of Purchase and Property is seeking an Independent Utilization Review Organization to support the Department of Banking and Insurance (DOBI) through the Independent Health Care Appeals Program. - Government Buyer: - State of New Jersey, Division of Purchase and Property - Supporting Department: Department of Banking and Insurance (DOBI) - Services Requested: - Compliance consulting, including ADA compliance - General consulting services related to health care appeals and utilization review - Insurance consulting - Arbitration, mediation, and alternative dispute resolution services - OEMs and Vendors: - No specific OEMs or vendors are named in the solicitation - Unique or Notable Requirements: - Vendor must provide expertise in health care appeals, utilization review, and related consulting services - Submission of standard procurement forms and completion of a third-party information security questionnaire required - Adherence to state terms and conditions - Managed through the New Jersey START portal - Multiple attachments detail requirements and forms

Description

This solicitation is for the Independent Health Care Appeals Program, specifically seeking an Independent Utilization Review Organization for the Department of Banking and Insurance (DOBI). The procurement involves consulting services related to health care appeals, including compliance consulting, insurance consulting, and alternative dispute resolution services. The contract period is from January 1, 2027, to December 31, 2029. The solicitation includes standard terms and conditions, procurement forms, and a security questionnaire as attachments.

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