When is the submission deadline?

This RFP closed on October 9, 2026 and is no longer accepting submissions.

What is the budget for this RFP?

The published budget is $14,000,000.

It was issued by Port Of Seattle. The work is located in Seattle, Washington, United States.

Who is a good fit for this opportunity?

Experienced medical and behavioral health claims administrator. Proven technology for claims adjudication, reporting, data feeds, and electronic funding. Broad provider network with strong contracting and out-of-network management capabilities. Expertise in utilization management, virtual care, and public-sector health plans. Demonstrated ability to support complex, long-term healthcare administration contracts.

Medical Claims Administration Services (Closed)

Overview

Healthcare Services, Wellness & Biotech

Seattle, Washington, United StatesPosted: September 10, 2026Deadline: October 9, 2026

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SUMMARY

A public-sector organization is seeking a five-year medical claims administrator to manage claims adjudication, provider networks, funding processes, utilization management, reporting, and virtual-care support. Proposals are due October 9, 2026.

KEY REQUIREMENTS

Must meet a Standard and Poor’s, Moody’s or AM Best financial rating of “A” at the time of proposal submission
Must have a minimum of ten years of experience providing insurance and claims administration services to public sector employers
Must provide full service ASO services including customer service, claims adjudication, clinical utilization management, and care management
Must contract directly with providers and health systems/facilities to establish a preferred provider network
Must provide all support, member services, account management, operational, clinical, and administrative services using personnel located within the United States
Account management team must be based out of a Washington or Oregon office with normal working hours of 8 am to 5 pm Pacific Time
Must be compliant with HIPAA, GINA, and SSAE 16 SOC 11 standards

BUDGET

Verified

$14,000,000

CONTRACT DURATION

60 months

TIMELINE

Advertisement: September 9, 2026

Pre-Proposal Conference: September 22, 2026

Last Day to Ask Questions: September 23, 2026

Proposals Due: October 9, 2026

Shortlist Notification: Week of November 9, 2026

Shortlisted Firms Changes to Terms and Conditions Due: Week of November 16, 2026

Interviews/Discussions/Terms and Conditions Negotiations: December 1st and 2nd, 2026

Request for Revised Proposals Addendum Posted: Week of December 7, 2026

Revised Proposals Due: Week of December 14, 2026

Notice of Selection: Week of December 28, 2026

Execute Agreement: Week of January 25, 2027

QUESTION DEADLINE

September 23, 2026

CONTACTS

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

Additional decision-makers and their departments

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Issuing Agency

Port Of Seattle

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

The procuring organization seeks a medical claims administration partner to provide technology-enabled claims adjudication, a broad provider network with strong contractual terms, and innovative solutions that support members while managing costs. The selected provider will deliver an integrated medical administration solution aligned with plan designs, member needs, and the public-sector environment.

Services will include maintaining a consolidated deliverables register; providing detailed reporting on claims and invoiced amounts for accounting; supporting transparent claims and fee funding; managing electronic transfers, wire documentation, bank and balance arrangements, self-billing where applicable, fee disclosures, interest treatment, and ACH and holiday timing. The provider will also maintain medical and behavioral health networks, disclose leased or wrap arrangements, support provider access and contracting continuity, manage out-of-network care, offer performance and variable-copay options, and support virtual care.

The selected provider will administer evidence-based utilization management programs and proactively identify network management opportunities. Questions are due by September 23, 2026, a pre-proposal conference is scheduled for September 22, 2026, and the contract term will be five years.

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Frequently asked questions

When is the submission deadline?: This RFP closed on October 9, 2026 and is no longer accepting submissions.
What is the budget for this RFP?: The published budget is $14,000,000.
Who issued this RFP?: It was issued by Port Of Seattle. The work is located in Seattle, Washington, United States.
Who is a good fit for this opportunity?: Experienced medical and behavioral health claims administrator
Proven technology for claims adjudication, reporting, data feeds, and electronic funding
Broad provider network with strong contracting and out-of-network management capabilities
Expertise in utilization management, virtual care, and public-sector health plans
Demonstrated ability to support complex, long-term healthcare administration 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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