Third Party Liability and Coordination of Benefits Services
Overview
Fit Score
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SUMMARY
KEY REQUIREMENTS
TIMELINE
RFI Released: June 12th, 2026
Deadline for Questions: June 18th, 2026
Responses to Questions: June 25th, 2026
Submissions Deadline: July 14th, 2026
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
State of Connecticut Department of Social Services
DESCRIPTION
The State of Connecticut is seeking vendors to provide third party liability and coordination of benefits services. The scope of work includes using innovative data mining and matching techniques to identify unreported active commercial insurance, Medicare, and Tricare coverage. Vendors must offer processes for continuous, real-time or near real-time verification of member coverage, ensuring minimal latency between when a member obtains other insurance and the state's systems are updated.
The selected vendor should have capabilities in identifying and recovering funds for Medicaid claims where a liable third party exists and possess expertise in managing complex billing and recovery processes with commercial carriers and Medicare. The use of advanced analytics, artificial intelligence (AI), or machine learning (ML) to predict third party liability and streamline workflows is required. System architecture must align with the Centers for Medicare and Medicaid Services (CMS) and the State of Connecticut Medicaid Enterprise Systems. Questions regarding the RFI must be submitted by June 18, 2026.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due July 14, 2026. Questions must be submitted by June 18, 2026.
- Who issued this RFP?
- It was issued by State of Connecticut Department of Social Services. The work is located in Hartford, Connecticut, United States.
- Who is a good fit for this opportunity?
- Experience with Medicaid third party liability and coordination of benefits
- Strong data analytics, AI, and machine learning capabilities
- Expertise in billing and recovery with commercial insurers, Medicare, and Tricare
- Familiarity with CMS requirements and Medicaid Enterprise Systems
- Track record of handling large-scale public sector healthcare projects
Analysis generated by Settle AI from the source RFP.
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