Medical Payment Claims Integrity Review and Performance Audit Services
Overview
Fit Score
Settle Intelligence
Settle helps teams find, evaluate, and respond to public RFPs. We continuously surface new opportunities, score them against your company strengths, and draft proposal responses so you can focus on the work that wins business.
SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateCONTRACT DURATION
TIMELINE
Issue Date: April 30th, 2026
Question Deadline: May 14th, 2026, by 2:00 p.m. CST
Response Deadline: May 29th, 2026, by 2:00 p.m. CST
Contract Term: July 1st, 2026, to June 30th, 2031
QUESTION DEADLINE
Issuing Agency
Mississippi Division Of Medicaid
Organization overview and procurement intelligence available on paid plans.
DESCRIPTION
The client is seeking a vendor to provide comprehensive medical payment claims integrity review and performance auditing services. The scope includes auditing both fee-for-service claims and managed care paid encounters, with an emphasis on re-adjudicating 100% of all claim transactions electronically. The selected firm will assess the accuracy and effectiveness of claims processing systems, including the verification of eligibility, identification of duplicate or ineligible charges, and evaluation of the timeliness of processing.
The audit will ensure financial, payment, and processing accuracy; confirming that payments are correct and provided to the appropriate providers per member benefit plans, contractual obligations, industry standards, and relevant regulations. The contract will be for a one-year period. Questions regarding this RFP must be submitted no later than May 14, 2026.
Source attribution
This Settle analysis is based on the issuing organization’s public RFP listing.