Out-Of-State Medicaid Billing, Commercial Insurance Billing and Denial Follow-Up Services

The buyer requires a vendor to provide out-of-state Medicaid billing, commercial insurance billing, and denial follow-up services. The requested scope includes preparing, submitting, and tracking claims, verifying patient eligibility, assisting with enrollment, analyzing denied commercial claims, and resubmitting corrected claims. The vendor must use secure, encrypted file transfer methods complying with HIPAA, utilize claim tracking software with real-time updates, and provide comprehensive monthly, quarterly, and annual performance reports. The buyer establishes a two-year contract period for offsite work. Only onshore United States organizations qualify for this opportunity. The buyer accepts digital response submissions via email or online and requests proposals to determine the budget. Bidders must submit all questions no later than September 4, 2026.