Medicare Claim Management and Revenue Cycle Management Services
Overview
Fit Score
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
Questions due by June 15th, 2026.
Quotes due by July 2nd, 2026.
Contract performance starts October 1st, 2026.
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
Indian Health Service
DESCRIPTION
This RFP seeks a qualified vendor to provide Medicare claim management and revenue cycle management (RCM) services. The scope of work includes creating an efficient, streamlined process for Medicare claims management verification, obtaining comprehensive eligibility information, making eligibility requests to Medicare, and verifying Medicare eligibility both in real time and through batch processing.
The selected provider must offer toll-free technical support during standard business hours (7 AM to 7 PM, Monday through Friday, excluding Government holidays). The services should include batch eligibility checks for multiple patients, a customizable dashboard for workflow management, seamless integration between eligibility and claims functions, and capabilities for running multiple payers and patients in one session to eliminate repetitive tasks. Enhanced record-keeping with access to all eligibility transaction history is required.
Bidders must submit all questions by June 15, 2026. The contract is for a one-year period and is set aside specifically for Indian Small Business Economic Enterprises.
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Frequently asked questions
- When is the submission deadline?
- Submissions are due July 2, 2026. Questions must be submitted by June 15, 2026.
- Who issued this RFP?
- It was issued by Indian Health Service. The work is located in Poplar, Montana, United States.
- Who is a good fit for this opportunity?
- Indian Small Business Economic Enterprise
- Expertise in Medicare claim management and RCM services
- Experience integrating eligibility and claims workflows
- Ability to provide reliable technical support during business hours
- Proven record-keeping and eligibility processing solutions
Analysis generated by Settle AI from the source RFP.
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