Health Plan Contract Compliance and Revenue Recovery 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 government authority in Washington, DC seeks a partner to provide comprehensive services including health plan contract compliance, zero balance reviews, underpayment recovery, denials management, and credit balance resolution. The primary goal is to optimize reimbursement, ensure adherence to contract terms, and offer exceptional value through quality service delivery. A particular focus is placed on strengthening rural health systems through collaborative efforts.
Responsibilities include analyzing payments against contracted reimbursement terms, identifying systemic payer payment issues while considering contract language, and conducting underpayment identification and recovery. The provider will perform retrospective analysis of paid accounts with zero balances to capture missed revenue opportunities, as well as identify and resolve credit balances. Additional services encompass payer performance benchmarking and analytics to facilitate ongoing optimization of the organization's revenue cycle.
Source attribution
This Settle analysis is based on the issuing organization’s public RFP listing.