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Medical Third-Party Administration Service

Overview


Healthcare Services, Wellness & Biotech
Loveland, Colorado, United StatesPosted about 1 month agoDeadline: April 23rd, 2026

Fit Score


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SUMMARY


RFP for a vendor to provide comprehensive medical third-party administration services in Colorado, including claims processing, network management, and compliance offerings.

KEY REQUIREMENTS


BUDGET

Estimate

$500,000 – $2,000,000

CONTRACT DURATION


36 months

TIMELINE


RFP Issued to Market: March 30th, 2026

RFP Question Inquiries Deadline: April 13th, 2026

Answers to Inquiries: April 17th, 2026

Proposal Due Date and Time: April 23rd, 2026

Vendor Selection for Finalist Presentations: Week of May 11th, 2026

Finalist Presentations: Week of May 18th, 2026

Final Vendor Selection Tentative Date: June 5th, 2026

Effective Date of Coverage: January 1st, 2027

QUESTION DEADLINE


April 13th, 2026

Issuing Agency


City Of Loveland

Organization overview and procurement intelligence available on paid plans.

DESCRIPTION


This RFP seeks a vendor to provide medical third-party administration (TPA) services, including support for self-funded medical plans. Proposals for fully insured Health Maintenance Organizations (HMOs), Colorado-based purchasing coalitions, or multi-employer trusts will also be considered.

Key service requirements include detailed provider disruption and claims re-price analysis, medical claims adjudication, and medical network access fees. Additional services requested are utilization management, disease management, maternity management, HIPAA compliance services, and COBRA administration. The contract term is three years, and all clarifying questions must be submitted by April 13, 2026.

Source attribution

This Settle analysis is based on the issuing organization’s public RFP listing.

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