In plain English
The Oregon Health Authority seeks an NCQA-certified vendor to produce, certify, and report 30 HEDIS and 14 non-HEDIS measures for the Oregon Health Plan. The RFP also describes billing and claims management services, including electronic claim submission, rejection and EOB management, setup, training, and maintenance. Solicitation number: S-44300-00017084.
About this bid
The State of Oregon, acting by and through the Oregon Health Authority, (Agency or OHA), is issuing this Request for Proposal under the provisions of ORS 279B.060 for a NCQA-certified vendor to produce, certify, and report 30 HEDIS and 14 non-HEDIS measures for the Oregon Health Plan. Additional details on the Scope of the goods or services or both are included in the Scope of Work/Specifications section. Billing and claims management services related to OSPHL billing rules to claim records and for electronic claim submission, claim rejection management, explanation of benefit (EOB) management, and related services as described in this RFP. Set up, installation, training, and maintenance…
Details
- Agency
- Oregon Health Authority
- Classification (PSC)
- Accounting and Billing Services, Including Payroll Services, 3rd Party Reimbursement for Medicare, Medicaid, Private Insurance, etc
- Place of performance
- Portland, Oregon
How to access this bid
Click “View the original posting” — it opens this bid’s detail page (public, no sign-in needed to view); the documents are listed there.
To quote electronically, register a free vendor account on the portal; otherwise follow the submission directions in the bid.
Submit before the deadline.
Documents
Listed on the original posting. Download them from the agency's portal.
- S-44300-00017084 RFP Main Document.pdf
- S-44300-00017084 RFPAttA Sample Contract.docx
- S-44300-00017084 RFPAttB.docx
- S-44300-00017084 RFPAttC.docx
- S-44300-00017084 RFPAttD.docx
- S-44300-00017084 RFPAttE Price Proposal.docx
- S-44300-00017084 RFPAttF.docx
- S-44300-00017084 RFPAttG.docx
- S-44300-00017084 RFPAttH Solutions Requirements.xlsx
- S-44300 00017084 Addendum 1.pdf
