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Medicare Section 111 Reporting Services

Overview


Financial, Legal, HR & Staffing
Orange, California, United StatesPosted: August 20, 2026Deadline: September 2, 2026

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SUMMARY


The organization seeks a vendor to manage Medicare Section 111 reporting, including data submission, error correction, audit documentation, and continuity during provider transition. The solution must integrate with Origami and support CMS compliance, historical record migration, and ongoing reporting requirements.

KEY REQUIREMENTS


CONTRACT DURATION


36 months

TIMELINE


Project initiation within 10 business days after Notice to Proceed.

Configuration and mapping within 30 calendar days after Notice to Proceed.

Incumbent data migration plan within 15 business days after Notice to Proceed; complete by December 15th, 2026.

Testing and readiness complete by December 15th, 2026.

Go-live no later than January 1st, 2027.

CONTACTS


Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

Issuing Agency


Orange County Transportation Authority

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DESCRIPTION


The vendor will provide Medicare Section 111 reporting services, maintaining uninterrupted reporting during the transition from the incumbent provider and throughout the contract term. Responsibilities include submitting complete and accurate liability claim data, promptly correcting errors, and preserving auditable documentation of transmissions, CMS responses, corrections, and acceptance.

The vendor will use Origami as the primary source and interface, minimizing manual duplicate entry through secure, tested data exchange and clearly defined exception workflows. To support continuity, the vendor will migrate and reconcile existing Verisk-managed CMS records and available historical ISO results into Origami before production cutover.

The vendor will also monitor and implement applicable CMS User Guide requirements, alerts, technical specifications, reporting thresholds, and civil-money-penalty compliance expectations.

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Frequently asked questions


When is the submission deadline?
Submissions are due September 2, 2026.
Who issued this RFP?
It was issued by Orange County Transportation Authority. The work is located in Orange, California, United States.
Who is a good fit for this opportunity?
  • Experienced Medicare Section 111 reporting services provider
  • Demonstrated knowledge of CMS reporting requirements, technical specifications, and penalty compliance
  • Expertise integrating with Origami and migrating or reconciling Verisk-managed CMS and ISO records
  • Strong data-quality, audit-trail, secure data-exchange, and exception-management capabilities
  • Proven ability to maintain continuity during incumbent-provider transitions

Analysis generated by Settle AI from the source RFP.

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