Medical Bill Adjustment Software

The City of Baltimore is seeking medical bill adjustment software to process workers' compensation bills and calculate allowable reimbursement rates. The agency needs to solve the administrative challenge of digitizing key information from paper medical bills and determining the correct adjusted reimbursement rates. The selected system must integrate with Assure Claims, the city's current case management software, to import claim and vendor information. The scope of work requires software that can upload scans of physical medical bills, analyze the text of each scanned bill, and link each bill with its associated parent claim. The system must create a case for each worker owed compensation, associate all incoming medical bills with that case, and import data to correctly link bills to the billing vendor's ID. The requested tool must perform bill assignment, bill processing, verification, and reimbursement calculation. Eligible bidders must be onshore USA organizations. The agency requires the performance of the work to be completed offsite. Bidders may submit their responses digitally via email or online, and the agency is looking for proposals to determine the budget. The agency will hold a pre-bid meeting on May 26, 2026. Bidders must submit all questions no later than May 29, 2026. The source document does not specify the final proposal submission deadline or the specific evaluation criteria.