Opportunity
Colorado VSS #RFI-UHAA-2026000042-2
Colorado Medicaid seeks advanced pre-payment analytics and AI solutions for claims integrity
Posted
February 28, 2023
Respond By
February 25, 2023
Identifier
RFI-UHAA-2026000042-2
NAICS
541512, 541690
The Colorado Department of Health Care Policy and Financing is seeking information from vendors about advanced pre-payment solutions for Medicaid fee-for-service claims. - Government Buyer: - Colorado Department of Health Care Policy and Financing - Products/Services Requested: - Advanced pre-payment solutions for Medicaid fee-for-service claims - Analytics and post-payment review services - Billing error identification tools - Pre Pay Artificial Intelligence (AI) solutions - Rules-based analytics for medical billing claims - Software or AI tools to detect fraud, waste, and abuse - Notable Requirements: - Solutions must identify erroneous or improper billing and paid medical claims - Emphasis on innovative, cutting-edge technology and approaches - No specific OEMs or vendors named; open to all capable providers - Quantities and part numbers are not specified as this is an RFI (Request for Information) for potential solutions
Description
The Colorado Department of Health Care Policy and Financing is issuing a Request for Information to gather responses from vendors that can provide advanced pre-payment solutions for Medicaid fee-for-service claims. The focus is on technologies such as analytics, post-payment, billing error identification, Pre Pay Artificial Intelligence (AI), and rules-based analytics for medical billing claims. The solutions sought should identify erroneous or improper billing and paid medical claims, including software or AI that can detect fraud, waste, and abuse.