Development and Implementation of Hospital Health Service Fee Schedule Solution

April 27th, 2026: Date of Issue of the RFI

May 6th, 2026: Respondent deadline for submitting first round of questions

May 12th, 2026: State responses to submitted questions posted to the eSupplier website

May 20th, 2026: Responses due from respondents

A government authority in Wisconsin is seeking information from vendors regarding the development and implementation of a hospital health service fee schedule solution for worker's compensation claims. The project will require a structured fee schedule dataset, organized by region, hospital, item, and service, and accompanied by detailed documentation outlining methodology, data sources, and calculation procedures.

The solution should provide a repeatable and sustainable process for annual updates, with recommended output formats such as Excel, CSV, database, or other system-based options. Vendors are also expected to propose tools or platforms that support ongoing maintenance, usability, and integration with existing systems. The RFI requests financial impact assessments, implementation guidance, stakeholder documentation, and robust data mapping, cleansing, normalization, and quality management processes.

Vendors should demonstrate an understanding of industry best practices for hospital fee schedules and worker's compensation. The solution should address methodologies and reimbursement models for hospital inpatient and outpatient services, specifically evaluating percentile-based reimbursement methods such as calculation and application of thresholds (e.g., 75th percentile). The outcomes of this RFI will inform the procurement strategy for a subsequent implementation phase.