New York State Contract Reporter #RFQ S-1567

SUNY Upstate Medical University Seeks M/WBE for Insurance Revenue Collection Services (Low-Balance Accounts)

SUNY Upstate Medical University is seeking insurance revenue collection services for low-balance accounts (under $500), specifically from New York State-certified Minority and/or Woman-owned Business Enterprises (M/WBEs). - Government Buyer: - State University of New York (SUNY) Upstate Medical University, Contracts & Campus Purchasing Office - Services Requested: - Insurance revenue collection services for commercial insurance claims under $500 - Includes follow-up, verification, coordination, account resolution, payment processing, and detailed reporting - Estimated $5 million in referrals per year, over a five-year contract - Notable Requirements: - Only NYS-certified M/WBEs are eligible; 100% MWBE participation goal - Minimum five years of relevant experience required - HIPAA compliance and secure electronic data exchange/reporting are mandatory - All services must be performed within the United States; no offshore work permitted - Weekly and monthly reporting, including remittance and invoice reports in Excel format - Previous similar services were awarded to RTR Financial Services Inc.

Description

The State University of New York (SUNY) Upstate Medical University intends to award a contract to a Minority/Women-owned Business Enterprise (M/WBE) for insurance revenue collection services focused on low-balance amounts under $500. The contract term is five years and the procurement is discretionary up to $1,500,000. The services include follow-up activities for reimbursement from commercial insurance carriers, compliance with HIPAA, secure data handling, and detailed reporting. Only New York State-certified M/WBEs are eligible to participate, and all services must be performed within the United States.

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