RFI for Medical Clearinghouse Solution

RFI Released on the Ohio | Buys Website: March 19th, 2026

Question and Answer (Q&A) Period Closes: April 1st, 2026 at 5:00 PM EDT

RFI Response Deadline Date/Time: April 14th, 2026 at 2:00 PM

The organization is seeking information from qualified vendors to provide a medical clearinghouse solution designed to support behavioral health operations, enhance the revenue cycle process, and ensure compliance with federal and state regulations. This solution should facilitate a fully integrated workflow, with capabilities for real-time eligibility verification, electronic claim submission, automated receipt and processing of payer responses (such as 277 and 835 transactions), and seamless integration with the Medicare DDE system. Support for electronic funds transfer (EFT) enrollment and ongoing management is also required.

Vendors should be able to demonstrate their solution’s coverage and ability to meet detailed requirements, supply budgetary and cost estimates, and provide insights on typical implementation durations. The system must support high-volume transactions, automated eligibility checks, payer routing logic, real-time claim validation, and integrate with Epic via certified connections or APIs. Additional desired features include robust reporting, denial analytics, payer performance dashboards, configurability in workflows, automated error correction, compatibility with electronic remittance advice (ERA), strict HIPAA-compliant security, high uptime guarantees, and disaster recovery capabilities. The solution should enable institutional and professional claims transmissions, payer acknowledgments, and facilitate Medicare claims submissions and corrections.