Claim Payment Integrity

Agency: Hillsborough County Public Schools
State: Florida
Type of Government: State & Local
Posted Date: Oct 24, 2025
Due Date: Nov 7, 2025
Solicitation No: 25583-RFP-DST
Original Source: Please Login to View Page
Contact information: Please Login to View Page
Bid Documents: Please Login to View Page
Main

Agency
Hillsborough County Public Schools
Status
Active
Fiscal Year
2025
Primary Contact
Christy Perales
Title
Claim Payment Integrity
Secondary Contact
Tiffanie Cason
Number
25583-RFP-DST
Tertiary Contact

Type
Request for Proposal
Department
Employee Benefits
Online Submissions
Yes
Project Estimate
Piggyback Solicitation
No
Insurance Required
No
Bid Bond Required
No
Bid Bond Amount

Performance Bond Required
No
Performance Bond Amount

Construction Bond Required
No
Construction Bond Amount

Scope of Services
The School Board of Hillsborough County, headquartered in Tampa, FL, and referred to throughout this document as HCPS is requesting quotes for claim payment integrity services effective on January 1, 2026. The total number of eligible employees as of August 2025 is approximately 24,328, of which 78.5% currently are enrolled in Medical/Rx coverage. Enrollment as of August 2025 includes 18,601 active employees, 44 COBRA participants, and 476 pre-65/post-65 retirees and surviving spouses for total enrollment of 19,121. Total medical/Rx membership is 22,543.
Dates(All times are listed as EST )

Broadcast Date
10/24/2025 4:00 PM EST
Question End Date
10/31/2025 12:00 PM EST
Due Date
11/7/2025 12:00 PM EST
Bid Opening Date

Pre-Bid Meetings

Total: 0 (All times are listed as EST )
Date Time Mandatory Location
Shortlist Meeting

Total: 0 (All times are listed as EST )
Date Time Location
Documents

Total: 6
Type Name Description File Type
All Bid Types Vendor Registration Form 07.10.25.pdf Vendor Registration/Substitute W-9 PDF
All Bid Types CONTRACTING WITH ENTITIES OF FOREIGN COUNTRIES OF CONCERN PROHIBITED AFFIDAVIT.pdf CONTRACTING WITH ENTITIES OF FOREIGN COUNTRIES OF CONCERN PROHIBITED AFFIDAVIT PDF
All Bid Types STATEMENT OF NO BID.pdf Statement of No Bid PDF
Attachment 25583-RFP HCPS Claim Payment Integrity RFP and Questionnaire 10.23.25 updated 1.xlsx 25583-RFP HCPS Payment Integrity Questionnaire Excel
Attachment SBEP Participation Requirements and Updated Contract Language to PRC 10.13.25.pdf SMALL BUSINESS ENCOURAGEMENT PROGRAM (SBEP) PDF
Request for Proposal 25583-RFP-DST Claim Payment Integrity P 1.pdf 25583-RFP-DST Claim Payment Integrity PDF
Quote/Bid


Zones
Total: 0
Zone

Groups
Total: 0
Group
Quote/Bid Items

Total: 0
# Required Group Make Model Description Quantity Unit of Measure Price/ Percent Type

Additional Quote/Bid Items Fields
Display Options Spreadsheet Section
No Display Image and Specifications Hyperlink Fields
No
Display Build Sheet File Upload Field
No Display Options File Upload Field
No
Require Build Sheet File to be Uploaded
No Require Options File to be Uploaded
No
Display Lead Time Field
No Display Standard Packaging Field
No
Delivery Date
None
Required Files to be Uploaded by the Vendor
None
Shipping
None
Terms and Conditions
None
Include Shipping in Price of Items
No
Display Bid Tabulation to Vendors
No
Display Vendor Submissions to Vendors
No
View Vendor Submissions while Bid Solicitation is Active
No
Allow Options File to be Updated after Due Date
No
Allow Post Due Date Submission
No
Questions & Answers

Total: 0
Question Date Asked Answer Date Answered
Commodity Codes

Total: 19
Code Description
[953-27] Insurance Claims Processing Services
[961-16] Claims Processing Services
[918-69] Insurance Consulting
[946-10] Accounting and Billing Services (Including Payroll Services, 3rd Party Reimbursement for Medicare, Medicaid, Private Insurance, etc)
[953-48] Health/Hospitalization (Including Dental and Visual Insurance)
[953-52] Insurance and Insurance Services (Not otherwise classified)
[953-63] Life Insurance
[953-78] Receiver Services, Special Deputy (Insurance)
[953-79] Reinsurance Services
[953-80] Retirement Benefit Plan Insurance
[953-91] Unemployment Insurance
[958-61] Insurance and Risk Management Services
[918-40] Employee Benefits Consulting
[946-10] Accounting and Billing Services (Including Payroll Services, 3rd Party Reimbursement for Medicare, Medicaid, Private Insurance, etc)
[918-90] Strategic Technology Planning and Consulting Services
[918-66] Human Resources Consulting Services
[946-12] Actuarial Services and Retirement Planning
[918-85] Personnel/Employment Consulting (Human Resources)
[918-32] Consulting Services (Not Otherwise Classified)
Publications

Total: 0
Publication Date
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