RFP - 18W - 202607125 Worker's Compensation Medical Bill Review Program

Description: The State of Maine is seeking a qualified vendor to design, implement, and operate a comprehensive Workers’ Compensation Medical Bill Review Program. The contractor will receive medical bills, apply the state fee schedule, negotiate out-of-network fees, and return audited bills to the Department through a secure electronic clearinghouse while meeting HIPAA, privacy, SOC 2, and vulnerability-scanning requirements. The solicitation opened on August 10, 2026, closes on September 2, 2026, and contemplates a contract running from November 1, 2026, through October 31, 2031, with optional renewals.