Dr. MiltieAtlas by Dr. Miltie™Healthcare Grant Intelligence
ActiveAtlas Opportunity Score 84/100
26DPP01227 / T1683

New Jersey Independent Health Care Appeals Program IURO RFP — T1683 / 26DPP01227

New Jersey procurement for an Independent Utilization Review Organization to conduct external health-insurance appeals for the Department of Banking and Insurance Independent Health Care Appeals Program.

FundingContract value not stated in current public NJSTART notice; bidder-priced via State-supplied price sheet
DeadlineOctober 6, 2026 at 2:00 PM (timezone not expressly stated in controlling amendment)
Last verifiedSeptember 16, 2026
Required next actionMonitor NJSTART for further amendments and evaluate only if a demonstrably qualified Independent Utilization Review Organization partner/prime is identified.

Broad Eligibility

Open State procurement through NJSTART for an Independent Utilization Review Organization. Bidder must satisfy the professional, utilization-review, procurement, security and other qualification requirements in the controlling T1683 solicitation. SBE and DVOB subcontracting set-aside applies.

Atlas Analysis

N9+ Fit 0/100. The procurement concerns independent external review of health-plan adverse determinations, not remote-exam technology. Dr. Miltie/QC Healthcare direct-prime IURO qualification is not established.

The New Jersey Department of the Treasury, Division of Purchase and Property, is accepting electronic quotes through NJSTART for T1683, Independent Health Care Appeals Program: Independent Utilization Review Organization, DOBI, Bid No. 26DPP01227. The New Jersey Department of Banking and Insurance uses contracted Independent Utilization Review Organizations to perform preliminary and full independent external reviews of adverse health-plan benefit determinations.

Bid Amendment #4 establishes the current quote deadline as October 6, 2026 at 2:00 p.m., submitted electronically through NJSTART. The controlling amendment does not expressly state a timezone. The NJSTART record identifies a contract term of January 1, 2027 through December 31, 2029, requires bidder pricing on the State-supplied price sheet, and includes SBE and DVOB subcontracting set-aside requirements. No bid bond or performance bond is listed.

The solicitation package includes the bid solicitation, State standard terms, standard procurement forms, a third-party information-security questionnaire, the revised State-supplied price sheet, pre-quote materials, and four posted amendments. Amendment #4 also includes responses to electronic questions and a revised bid solicitation dated September 15, 2026. Prospective bidders must rely on those controlling materials for final licensing, professional qualifications, staffing, utilization-review, security, pricing, insurance, and compliance requirements.

Atlas assessment: Atlas Opportunity Score 84/100. N9+ Fit Score 0/100. This is a clinically consequential health-services procurement, but the verified scope is independent utilization review and health-insurance appeals rather than remote physical-examination technology. Dr. Miltie/QC Healthcare direct-prime eligibility and IURO qualification are not established, so no direct submission is being advanced.

Source verificationOfficial government source · www.njstart.govAtlas last verified this record September 16, 2026. Always use the funder's current application materials, amendments and portal instructions as the controlling source.View source and application materials ↗