MB-10341 - USA (Wisconsin) - Health Insurance Cost and Claims Review Service - Deadline August 19,2026

Vendor needs to provide health insurance cost and claims review service. – Perform a complete, independent review of all health insurance claims. • Reviewing all medical, pharmacy, and related claims for billing accuracy.• Verifying that claims were processed according to the agency’s plan documents.• Identifying potential overpayments, duplicate payments, or incorrect pricing.• Assessing the accuracy of provider billing, coding, and claim adjudication.• Documenting any irregularities, errors, or discrepancies.• Providing recommendations for process improvements, recovery opportunities, and vendor oversight practices.•Vendor partner selected will be responsible for recovering and collecting any dollars related to claims inaccuracy with progressive recovery steps aligned upon by the county.• Supplying a final report that summarizes findings, financial impact, and proposed next steps.