Workers' Compensation Bill Review, Pharmacy Benefits, and Physical Therapy Services
Overview
Fit Score
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SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateCONTRACT DURATION
TIMELINE
Request for Proposals Issued: May 21st, 2026
Deadline for submitting written questions: June 18th, 2026
Proposals Opening Date: June 23rd, 2026
Proposed review of proposals and short list decision: July 7th, 2026
Proposed respondent presentations: July 15th, 2026
Proposed selection and negotiation: July 23rd, 2026
Proposed Best & Final: August 6th, 2026
Proposed award of contract: September 2nd, 2026
QUESTION DEADLINE
Issuing Agency
Maricopa County
Organization overview and procurement intelligence available on paid plans.
DESCRIPTION
The selected vendor will provide comprehensive workers' compensation bill review, pharmacy benefits, and physical therapy services for the county’s workers’ compensation program in Arizona. The scope includes conducting effective and efficient medical bill review and check writing services for all medical services linked to accepted industrial injuries, ensuring that payments are accurately processed, and duplicate, excessive, or ineligible charges are rejected or reduced. The vendor will be required to present detailed accounting for all savings, duplicate bills, prescription charges, and physical therapy charges with each invoice.
Additionally, the vendor will act as a pharmacy benefit manager (PBM), facilitating prescription benefit management services through a network of pharmacies for county employees. Check writing services must include IRS form 1099 filing, associated follow-up, bank reconciliation, and handling bank fees related to such transactions. Integration with the Origami Risk Database, a web-based risk management software, is necessary for data exchanges and report generation. The contract is intended to last for a two-year period.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due June 23, 2026. Questions must be submitted by June 18, 2026.
- What is the budget for this RFP?
- Settle estimates the budget at $6,500,000. The issuer has not published an official figure.
- Who issued this RFP?
- It was issued by Maricopa County. The work is located in Phoenix, Arizona, United States.
- Who is a good fit for this opportunity?
- Experience with workers’ compensation bill review and medical check writing services
- Licensed pharmacy benefit manager with a robust pharmacy network
- Ability to integrate with Origami Risk or similar risk management platforms
- Knowledge of IRS 1099 processing and associated financial reconciliations
- Proven track record serving county or public sector clients
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