When is the submission deadline?

This RFP closed on September 16, 2026 and is no longer accepting submissions.

It was issued by Polk County. The work is located in Bartow, Florida, United States.

Who is a good fit for this opportunity?

Third-party administrators experienced in correctional healthcare claims and benefits management. Established provider-network and PPO administration capabilities, including hospital and ancillary service contracting. Expertise in medical claims adjudication, utilization management, precertification, and pharmacy benefit management. Experience supporting government, county, correctional, or institutional healthcare programs. Proven ability to integrate with electronic medical records and jail healthcare management systems. Capability to administer claims payment programs using Zero-Balance Account funding models.

Third-Party Administrator Services (Closed)

Overview

Healthcare Services, Wellness & Biotech

Bartow, Florida, United StatesPosted: August 26, 2026Deadline: September 16, 2026

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SUMMARY

The organization seeks a third-party administrator to manage inmate medical claims, ancillary healthcare services, provider-network access, pharmacy benefits, utilization review, and claims funding. The solution must support correctional healthcare operations and integrate with jail medical and records systems.

KEY REQUIREMENTS

Must have a Certificate of Status issued by the Florida Department of State (Sunbiz) dated within 60 days of proposal submission
Must hold an active Insurance Administrator License issued by the Florida Office of Insurance Regulation
Must hold an active Certificate of Authority as an Insurance Administrator for Pharmacy Benefit Manager Registration
Must hold a current Full Certification from the Utilization Review Accreditation Commission
Must have a minimum of three consecutive years of experience within the past three years providing similar size and scope work for corrections or governmental agencies
Must have a correctional contract or Sole Source Agreements with all 6 hospitals in Polk County
Must have Preferred Provider Organization correctional network contracts with Polk County vendors for laboratory, radiology, ultrasound, dialysis, vision, dental, and specialized respiratory therapies
Must have the capability to interface with the Polk County Sheriff's Office Jail Management System and Electronic Health Record
Must maintain specified levels of insurance including Commercial General Liability, Automobile Liability, Workers' Compensation, Employers Liability, Professional Services Errors and Omissions, Technology Errors and Omissions, Cyber Liability, and Crime/Fidelity Insurance

TIMELINE

Questions regarding this RFP must be received by September 9th, 2026, 5:00 p.m.

Sealed proposals must be received by September 16th, 2026, prior to 2:00 p.m.

QUESTION DEADLINE

September 9, 2026

CONTACTS

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

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Issuing Agency

Polk County

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DESCRIPTION

The vendor will provide third-party administrator services for inmate healthcare claims and related medical services. Responsibilities include administering and adjudicating off-site inmate medical claims; managing on-site ancillary services such as mobile radiology, ultrasound, dialysis, vision, specialized and respiratory therapy, and laboratory services; complying with prompt-payment requirements; and denying pre-booking claims.

The services will include access to a contracted and credentialed correctional preferred provider organization network serving both central and south county jail facilities. The network must include all county hospitals, AdventHealth Sebring, and applicable ancillary service providers.

Additional responsibilities include utilization management and medical-necessity reviews for precertification of outpatient facility testing and procedures, pharmacy benefit management for select institutional and specialty medications, claims payment administration using a Zero-Balance Account funding model, and integration with jail medical and records management systems.

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Frequently asked questions

When is the submission deadline?: This RFP closed on September 16, 2026 and is no longer accepting submissions.
Who issued this RFP?: It was issued by Polk County. The work is located in Bartow, Florida, United States.
Who is a good fit for this opportunity?: Third-party administrators experienced in correctional healthcare claims and benefits management
Established provider-network and PPO administration capabilities, including hospital and ancillary service contracting
Expertise in medical claims adjudication, utilization management, precertification, and pharmacy benefit management
Experience supporting government, county, correctional, or institutional healthcare programs
Proven ability to integrate with electronic medical records and jail healthcare management systems
Capability to administer claims payment programs using Zero-Balance Account funding models

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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