When is the submission deadline?

Submissions are due November 20, 2026. Questions must be submitted by November 4, 2026.

It was issued by Maryland Department of Health. The work is located in Baltimore, Maryland, United States.

Who is a good fit for this opportunity?

Recovery audit and healthcare claims review firm. Experience auditing hospital providers across multiple facility types. Capability to support state and federal healthcare oversight audits. Expertise developing and maintaining secure web-based provider portals and audit databases. Established team with healthcare compliance and government contracting experience.

Recovery Audit Services (Due November 20, 2026)

Overview

Financial, Legal, HR & Staffing

Baltimore, Maryland, United StatesPosted: October 3, 2026Deadline: November 20, 2026

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SUMMARY

A Baltimore, Maryland government authority is seeking a contractor to provide hospital recovery audit services, audit support, and web-based claims audit management. Responsibilities include completing active audits, supporting external oversight reviews, and maintaining provider and hospital audit systems.

KEY REQUIREMENTS

Must have at least three years of experience providing hospital claims and payments auditing within the last five years.
Must not be on the federal List of Excluded Individuals and Entities (LEIE) or the federal System for Award Management (SAM) exclusion list.
Must not have any current contractual relationship with or provide services for any hospital that may be audited under the contract, nor have had such a relationship within three years prior to proposal submission.
Must be a certified small business under the Small Business Reserve Program.
Must provide a letter of attestation regarding non-compete agreements for employees.
Must provide a draft Problem Escalation Procedure.
Must provide a draft Continuity of Operations Plan.
Must maintain specific insurance coverages including Commercial General Liability, Errors and Omissions/Professional Liability, Crime Insurance, and Cyber Security/Data Breach Insurance.

CONTRACT DURATION

36 months

TIMELINE

Pre-Proposal Conference: October 14th, 2026

Questions Due Date: November 4th, 2026

Proposal Due Date: November 20th, 2026

Contract Start Date: August 1st, 2027

QUESTION DEADLINE

November 4, 2026

CONTACTS

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

Additional decision-makers and their departments

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Issuing Agency

Maryland Department of Health

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DESCRIPTION

The government authority in Baltimore, Maryland seeks a vendor to provide recovery audit services supporting the Department’s hospital-related audit activities. The contractor will assist the Department in responding to external audits conducted by state or federal oversight agencies.

The selected contractor must create and maintain a web-based provider portal to track and support audit activity, along with a hospital claims audit database covering general in-state hospitals, out-of-state hospitals, and in-state psychiatric hospitals. The contractor will complete existing hospital audits already in progress and remain current with ongoing hospital audit responsibilities.

A pre-bid meeting is scheduled for October 14, 2026. Questions must be submitted by November 4, 2026, and proposals are due November 20, 2026.

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Frequently asked questions

When is the submission deadline?: Submissions are due November 20, 2026. Questions must be submitted by November 4, 2026.
Who issued this RFP?: It was issued by Maryland Department of Health. The work is located in Baltimore, Maryland, United States.
Who is a good fit for this opportunity?: Recovery audit and healthcare claims review firm
Experience auditing hospital providers across multiple facility types
Capability to support state and federal healthcare oversight audits
Expertise developing and maintaining secure web-based provider portals and audit databases
Established team with healthcare compliance and government contracting experience

Analysis generated by Settle AI from the source RFP.

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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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