Pharmacy Benefit Claims Monitoring Services
Overview
Fit Score
Settle Intelligence
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SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateCONTRACT DURATION
TIMELINE
Release of RFP: March 20th, 2026
Written Questions due by: March 31st, 2026
Anticipated Commonwealth Response to Written Questions: April 3rd, 2026
Proposals Due by: April 15th, 2026
QUESTION DEADLINE
Issuing Agency
Commonwealth of Kentucky, Personnel Cabinet, Department of Employee Insurance
Organization overview and procurement intelligence available on paid plans.
DESCRIPTION
The requesting entity in Kentucky is seeking a vendor to provide pharmacy benefit claims monitoring services. The selected company will be responsible for analyzing pharmacy benefit claims to validate their accuracy and identify errors in near real time.
The scope of work requires the analysis of 100% of pharmacy invoices or claims submitted, with a focus on identifying and correcting errors to avoid or reduce overpayments. The vendor must also identify underpayments and detect any inappropriate or erroneous fees imposed. It is important to note that entities performing only annual retroactive audits of pharmacy benefit claims are not eligible for this contract.
Interested parties should submit any questions by March 31, 2026.
Source attribution
This Settle analysis is based on the issuing organization’s public RFP listing.