Claims Processing and Management Solution
Overview
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SUMMARY
DESCRIPTION
The issuing organization in Georgia is seeking a vendor to provide a claims processing and management solution for Medicaid healthcare claims. The requested system must support core claims administration functions, including adjudication, editing, pricing, and determination of reimbursement amounts.
In addition to the core claims platform, the procurement includes three optional components: financial management, call center, and federal reporting capabilities. The anticipated contract term is six years.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due August 17, 2026.
- Who is a good fit for this opportunity?
- Healthcare technology vendor with Medicaid claims processing expertise
- Firm offering end-to-end claims adjudication, pricing, and reimbursement platforms
- Provider experienced in government healthcare programs and regulatory reporting
- Company capable of supporting optional financial management and call center functions
- Mid-sized to large enterprise with capacity for a six-year public sector engagement
- Vendor with prior state Medicaid or public health payer implementation experience
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.