Santa Clara County Biddingo #RFI-PRC-FY26-0735

Santa Clara County Seeks AI-Driven Revenue Cycle Technology Solutions for Healthcare

Santa Clara Valley Healthcare (SCVH), part of the County of Santa Clara, is seeking information from the market on advanced technology solutions to improve its healthcare revenue cycle operations. - Government Buyer: - County of Santa Clara, Santa Clara Valley Healthcare (SCVH) - Scope of Requested Solutions: - Systematic medical coding support for both professional and facility services - Includes charge capture, coding validation, and compliance - Automated prior-authorization solutions - Must initiate, submit, and track requests across major payers - Aims to reduce manual workload and improve turnaround times - Billing denial management tools - AI-enabled solutions for identifying and managing claim denials - Capabilities for generating appeals, analyzing denial trends, and improving collections and revenue integrity - Notable Requirements: - Solutions must support regulatory and payer compliance - Emphasis on automation of manual processes - Robust reporting and analytics capabilities - No specific OEMs or vendors are named; this is a market research RFI to inform future procurement.

Description

Santa Clara Valley Healthcare (SCVH), a county-operated health system, is seeking information from qualified vendors for innovative, scalable, and efficient technological solutions to support critical operational functions within their Revenue Cycle. The RFI focuses on advanced AI-driven and systematic tools to streamline workflows, reduce manual effort, and improve performance in medical coding support, prior-authorization automation, and billing denial management. The goal is to understand available technologies and evaluate alignment with SCVH's needs for potential future procurement. Vendors are encouraged to submit information by August 31, 2026.

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