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Texas Teacher Retirement System·Texas

Claims Audit Services

Closes 8/5/2026$900k – $3.5MRequest for Proposal
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Description

The Teacher Retirement System of Texas (TRS) is seeking qualified vendors to conduct medical claim audit services, prescription drug claim audit services, pharmacy rebate audit services, and clinical validation review services. The selected vendor(s) will provide these services to support TRS' health care programs, including TRS-ActiveCare and TRS-Care. The contract term will be from the effective date of the contract through August 31, 2029, with two optional two-year renewal terms. Some key points to consider: * Respondents may propose on any of the three main service categories (Medical Claim Audit, Prescription Drug Claim Audit and Pharmacy Rebate Audit Services, or Clinical Validation Review Services). * TRS may request that top-scoring Respondents present an overview of Services proposed in their Proposals. * The evaluation process will include an initial round and a potential best and final offer round. * TRS will select the vendor who represents the best overall value for TRS based on the candidate's qualifications, experience, acceptance of TRS contract terms and conditions, proposed pricing, and other relevant factors.

Attached files

Contact

Alvaro Copa(Procurement and Contracts Representative)

[email protected]

(512) 542-6154

Key dates

Opened
6/17/2026
Questions due
7/1/2026
Pre-bid meeting
6/25/2026
Closes
8/5/2026
Duration
3 years

Last updated

Details

Type
Request for Proposal
Industry
Healthcare and Medical Services
NAICS
524114
Solicitation №
TRS000646

Budget estimate

$900,000 – $3,500,000

Based on the information provided, it is estimated that the contract value will be around $2,700,000. This estimate is derived from the "value" field in the provided JSON data. The actual budget may vary depending on the services provided and the terms of the contract. The contract term is 3 years, with two optional two-year renewal terms. The budget may be structured as a fixed fee or a fee based on the services provided. Given the scope of work and the contract term, the estimated budget range is between $900,000 and $3,500,000.

AI estimate from the solicitation

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