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Atlas Grant Intelligence Center

Independent Review Organization

Independent clinical review organizations and medical-review contractors that perform utilization review, medical-necessity review, payment or provider appeals, external review, and related healthcare adjudication services for government programs and health plans.

Atlas IndexOrganization Type Intelligence
Latest verification: September 13, 2026
Verified records3
Active opportunities1
Top opportunity score87/100
States represented3

GeographyNational · Wyoming · Texas

← All Healthcare Grants Organization Type
Active Atlas Opportunity Score 87/100
498 days leftVerified September 2, 2026

Texas Health and Human Services Commission (HHSC)

Texas HHSC Independent Review Organizations — Medicaid & CHIP Medical/Utilization Appeals Open Enrollment (HHS0015818)

Texas HHSC is accepting qualified Independent Review Organization applications through January 31, 2028 at 5:00 PM CST to conduct Medicaid and CHIP medical, utilization-review, provider-resolution and administrative appeal reviews under a per-review fee schedule.

FundingFee-for-service contracting. Current Exhibit F lists $325 per review for Admission Denial, Denied Days, DRG Revision, Outlier Days and Acute Care Surveillance reviews, and $150 per review for OIG Targeted Query retrospective payment reviews and Recovery Audit Contractor automated reviews. No guaranteed contract volume or total value is stated on the public solicitation page.
DeadlineJanuary 31, 2028 at 5:00 PM CST
Required next actionReview the current Open Enrollment, Statement of Work, Solicitation Affirmations, Data Use Agreement, Fee Schedule and all addenda; confirm Independent Review Organization qualifications and clinical-review capacity; complete all required application and security/compliance documentation; and submit the complete application by January 31, 2028 at 5:00 PM CST.
Active — proposals open Atlas Opportunity Score 72/100
Verified September 13, 2026

Wyoming Department of Corrections

Wyoming Independent Medical Audits — RFP #0043-N

State of Wyoming RFP #0043-N seeks independent medical audit services. Proposals are due October 1, 2026 at 2:00 PM Mountain Time through Public Purchase.

FundingNot stated in the official public procurement listing reviewed; do not rely on third-party estimates as the controlling value.
DeadlineOctober 1, 2026 at 2:00 PM Mountain Time. Written-question period closed September 11, 2026 at 2:00 PM Mountain Time.
Required next actionProposals remain due October 1, 2026 at 2:00 PM Mountain Time. The 48-hour NEW-applicant outreach cutoff is September 29, 2026 at 2:00 PM Mountain Time. Review the complete authenticated Public Purchase package and all posted answers and addenda, and verify medical-audit scope, clinical staffing, references, insurance, Wyoming authorization, pricing and submission requirements before any pursuit. Before any new outreach, verify the exact eligible organization and authoritative business recipient, Email_Opt_Out, actual-sent-history deduplication, canonical Account, Contact and Deal state, WorkDrive materials, and the final approved Zoho HTML render. QC Healthcare or another Dr. Miltie capability should advance only if all required medical-audit qualifications can be documented legitimately.
Open Atlas Opportunity Score 62/100
1795 days leftVerified September 11, 2026

Health Resources and Services Administration (HRSA)

HRSA Medical Case Reviewer Services for VICP/CICP — 75R60225Q00181

Open HRSA total small-business procurement for qualified medical experts and case reviewers supporting the Vaccine Injury Compensation Program and Countermeasures Injury Compensation Program.

Funding$7.5 million stated BPA ceiling; individual call orders subject to the solicitation and BPA terms; ceiling is not a guaranteed award
DeadlineSAM.gov response deadline August 20, 2031 at 5:00 PM EDT; Amendment P0001 states the solicitation is open with no formal closing date
Required next actionVerify active SAM/UEI registration and mandatory vaccine-injury medical case-review qualifications before any direct bid. If not verified, pursue only through a qualified small-business clinical partner or hold as no-bid.