When is the submission deadline?

Submissions are due September 4, 2026. Questions must be submitted by August 17, 2026.

It was issued by Department Of Administrative And Financial Services. The work is located in Maine, United States.

Who is a good fit for this opportunity?

Healthcare claims and medical bill review service provider. Experience processing worker's compensation medical bills. Secure systems for handling healthcare and billing information. Established clearinghouse relationships and facility-bill retrieval capabilities. Demonstrated ability to support multi-year public-sector contracts.

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Worker's Compensation Medical Bill Review Program Service

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Overview

Financial, Legal, HR & Staffing

Maine, United StatesPosted: August 11, 2026Deadline: September 4, 2026

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SUMMARY

The Department seeks a vendor to administer a worker's compensation medical bill review program, including secure bill handling and clearinghouse services. The contract term is two years.

KEY REQUIREMENTS

Must be able to apply the Maine Workers' Compensation Board Medical Fee Schedule
Must provide a medical bill review software solution
Must comply with HIPAA and 22 M.R.S.A § 1711-C
Must provide a third-party SOC 2 Type 2 audit
Must provide a vulnerability scan of the application prior to deployment and annually thereafter
Must be able to integrate with the Department's Risk Management Information System
Must have access to MS-DRG Grouper for inpatient bill coding
Must comply with State of Maine IT policies and Digital Accessibility Policy
Must have an active Vendor Code (VC or VS) in the Vendor Self Service System

CONTRACT DURATION

24 months

TIMELINE

Submitted Questions Due Date: August 17th, 2026

Proposal Submission Deadline: September 2nd, 2026

Contract Start Date: November 1st, 2026

QUESTION DEADLINE

August 17, 2026

CONTACTS

Primary procurement contact — name, title, email, and phone

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Issuing Agency

Department Of Administrative And Financial Services

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DESCRIPTION

The Department is seeking a vendor to provide a worker's compensation medical bill review program service. The selected provider will securely receive and review facility bills from hospitals, inpatient and outpatient clinics, surgery centers, and other healthcare providers, including professional fees associated with these services.

The vendor must also use a clearinghouse to obtain applicable facility bills and related professional fees. The anticipated contract period is two years. All questions regarding the opportunity must be submitted by August 17, 2026, and proposals are due by September 4, 2026.

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Frequently asked questions

When is the submission deadline?: Submissions are due September 4, 2026. Questions must be submitted by August 17, 2026.
Who issued this RFP?: It was issued by Department Of Administrative And Financial Services. The work is located in Maine, United States.
Who is a good fit for this opportunity?: Healthcare claims and medical bill review service provider
Experience processing worker's compensation medical bills
Secure systems for handling healthcare and billing information
Established clearinghouse relationships and facility-bill retrieval capabilities
Demonstrated ability to support multi-year public-sector contracts

Analysis generated by Settle AI from the source RFP.

RFP Hunter shows what is open. Settle shows what is forming.

Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.

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