About this opportunity
AI summaryEmergence Health Network seeks proposals from onshore, USA-only organizations to provide offsite credentialing and provider enrollment services. The requested scope includes comprehensive insurance contracting and provider enrollment services, maintaining audit-ready contract records, managing payer rosters and contract lifecycles, and monitoring critical deadlines and auto-renewal terms. Proposals require a transmittal letter, summary of proposal, technical infrastructure information, pricing, financial documentation, and required appendices. Proposers must submit all questions by November 9, 2026, and deliver final responses digitally by November 30, 2026.
Buyer and opportunity details
- Client
- Emergence Health Network
- Solicitation No.
- 27-001
Scope of work
- Contract administration and inventory management
- Contract analytics and financial monitoring
- Contract negotiation services
- Payer relationship management
- Initial enrollments, revalidations, and payer maintenance
- Roster management across clinical and program locations
- EDI/ERA/EFT enrollment coordination
- Monthly performance and SLA compliance reporting
How proposals are evaluated
| Criterion | Weight / scoring |
|---|---|
| Technical Proposal, Qualifications, and Experience | 30% |
| Project Approach and Operational Capability | 25% |
| Financial Condition and References | 25% |
| Cost Estimate | 20% |
Minimum qualifications
- Demonstrated experience providing healthcare contract administration, analytics, financial monitoring, negotiation, provider enrollment, and credentialing
- Knowledge of applicable healthcare regulations, accreditation standards, and payer requirements including NCQA, TJC, TDI, CMS, and TAC Rule 301.331
- Credentialing and enrollment experience with Texas providers, LMHAs, or LIDDAs
- Ability to conduct Texas Department of Public Safety state-level criminal background checks, sex offender checks, and fingerprinting for assigned personnel
Documents to include with your response
- Transmittal Letter
- Summary of Proposal
- Pricing Worksheets including Fixed Monthly Fee Pricing Table and Extraordinary Services Fee Schedule
- Appendix A: EHN Signature Page
- Appendix B: Deviation Form
- Appendix C: HUB Subcontracting Plan
- Appendix D: Conflict of Interest Questionnaire
- Appendix E: Certification Regarding Lobbying
- Minimum of three (3) customer references
- Latest annual report, financial statement, or comparable financial documentation
Key dates
- RFP Issued
- Monday, November 2, 2026
- Q & A Period Closes
- 3:00 P.M. MST Monday, November 9, 2026
- Release of Official Response to Questions
- Tuesday, November 17, 2026
- Vendor Submissions Due
- Monday, November 30, 2026
- Finance Committee Review
- Thursday, January 21, 2027
- Board Review and Approval
- Thursday, January 28, 2027
How to submit
- Method
- Sealed hard copy envelope or email
- Instructions
- Submit one original hard copy to Emergence Health Network, 201 E. Main Suite 600, or an electronic PDF copy via email to [email protected]. Email attachments must not exceed 25 MB per email or utilize a secure shared link (e.g., OneDrive).
Contract details
- Term
- Three (3) years
- Place of performance
- El Paso County, Texas
- Insurance and bonding
- Workers Compensation Insurance Policy(ies) with insurers having a Best rating of no less than A; Limit of $1,000,000 for Errors and Omissions/Professional Insurance; Emergence Health Network listed as additional insured; certificates due within 10 business days of contract execution.