Health Plan Contract Compliance and Revenue Cycle Optimization Services
Overview
Fit Score
Settle Intelligence
Settle helps teams find, evaluate, and respond to public RFPs. We continuously surface new opportunities, score them against your company strengths, and draft proposal responses so you can focus on the work that wins business.
SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateTIMELINE
RFP Issued: March 17th, 2026
Vendor Questions Due: March 20th, 2026
Consolidated Responses Provided: March 24th, 2026
Proposal Submission Deadline: April 3rd, 2026
Final Vendor Selection: April 15th, 2026
QUESTION DEADLINE
Issuing Agency
Rural Health Enterprise, LLP
Organization overview and procurement intelligence available on paid plans.
DESCRIPTION
The selected vendor will provide comprehensive services focused on health plan contract compliance, zero balance reviews, underpayment recovery, denials management, and credit balance resolution for a government authority in Washington. The primary objectives include optimizing reimbursement, ensuring rigorous contract compliance, and delivering high-value, quality-driven outcomes.
Key responsibilities involve analyzing payments against contractual reimbursement terms, identifying systemic payer payment issues in consideration of applicable contract language, and conducting retrospective analysis of paid accounts with zero balances to uncover missed revenue opportunities. The vendor will also be expected to manage underpayment identification and recovery, as well as credit balance identification. Additionally, the service scope includes delivering payer performance benchmarking and analytics to aid revenue cycle optimization and to strengthen rural health systems by leveraging collective organizational strengths.
Source attribution
This Settle analysis is based on the issuing organization’s public RFP listing.