Hawaii eProcurement Portal #Q26002840

Design and Implementation of Claims Denial Dashboard for Critical Access Hospital

This opportunity involves the Hawaii State Department of Health's Family Health Services Division seeking a vendor to design and implement a claims denial dashboard for a Critical Access Hospital (CAH) on Molokai. - Government Buyer: - Hawaii State Department of Health (DOH) - Family Health Services Division (FHSD) - Office of Primary Care and Rural Health (OPCRH) - Products/Services Requested: - Design and implementation of a claims denial dashboard for a CAH - Integration of electronic medical record (EMR) data and payer remittance files (835 or equivalent) - Denial analytics and visualization tools - Workflow attribution to revenue cycle components - Dashboard must support aggregate and drill-down views by payer, service line, and denial code - Staff training on dashboard use, including navigation, filtering, and interpretation of denial metrics - Unique/Notable Requirements: - Vendor must have at least seven years of relevant experience - Compliance with state and federal statutes is required - Proof of compliance must be provided - Project budget not to exceed $18,000 - Transaction fee of 0.75% (up to $5,000) applies to the awarded vendor - No specific OEMs or vendors are named in the solicitation

Description

The Hawaii State Department of Health (DOH), Family Health Services Division (FHSD), Office of Primary Care and Rural Health (OPCRH), is seeking services to design and implement a claims denials dashboard for a critical access hospital (CAH). The project includes integrating electronic medical record and payer remittance data, developing denial analytics and visualization, and providing training to CAH staff on using the dashboard. The goal is to improve revenue cycle management and identify common causes for claims denials. The period of performance is from June 1, 2026, to August 31, 2026, with a budget not to exceed $18,000.

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