Emergency Medical Services (EMS) Billing, Claims Processing, and Revenue Cycle Management

Location:	Colorado
Posted:	Feb 10, 2026
Due:	Feb 20, 2026
Agency:	City of Grand Junction
Type of Government:	State & Local
Category:	Q - Medical Services R - Professional, Administrative and Management Support Services
Publication URL:	To access bid details, please log in.

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Request for Information

RFI-5837-26-KF

Emergency Medical Services (EMS) Billing, Claims

Processing, and Revenue Cycle Management

Response Deadline

February 20, 2026, before 1:00 PM (Mountain Standard Time)

Electronic Submission Only

Responses Must Be Submitted Exclusively Through

BidNet Direct® – Rocky Mountain E-Purchasing System (RMEPS)

????https://www.bidnetdirect.com/colorado/city-of-grand-junction

Important Notice

The City of Grand Junction does not control or administer vendor access to the BidNet®

Direct system. Respondents are solely responsible for ensuring a successful submission.

Technical assistance must be requested directly from BidNet at (800) 835-4603.

Virtual Solicitation Opening

All City solicitation openings will be conducted virtually.

For meeting access and participation details, refer to Section 4.5.

Purchasing Agent Contact

Kathleen Franklin

kathleenf@gjcity.org

970-244-1513

Table of Contents

Section 1.0: Overview and Information Introduction ................................................. 3

Tentative Calendar of Events ............................................................................... 4

• RFI Issued: January 30, 2026

• Deadline for Questions: February 9, 2026

• Addenda Issued (if required): February 12, 2026

• Response Submission Due: February 20, 2026, before 1:00 p.m. MST

Section 2.0: Objectives ................................................................................................. 4

Section 3.0: Information Requested ............................................................................ 4

Section 4.0: Administrative Requirements and Submission Instructions ............... 8

Section 5.0: Response Form ...................................................................................... 13

RFI-5837-26-KF

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Section 1.0: Overview and Information Introduction

1.1. Purpose

The City of Grand Junction, Colorado (the “City”), is issuing this Request for Information

(RFI) to gather insight from qualified providers of Emergency Medical Services (EMS)

billing solutions. The purpose of this RFI is to inform the development of a future

competitive solicitation, anticipated for release in 2026, by identifying current industry

capabilities, operational models, integration standards, and optional value-added

services.

This RFI is strictly intended for information-gathering and strategic planning purposes.

The City seeks to better understand available billing technologies, reporting tools, support

services, compliance practices, pricing structures, and implementation timelines. In

particular, the City is interested in understanding onboarding and transition requirements,

such as credentialing, Medicare/Medicaid updates, and patient care data exchange, to

ensure a seamless changeover, if applicable.

This RFI is not a formal solicitation and will not result in a contract award. Responses will

not be scored, ranked, or treated as proposals. Participation is voluntary, and responding

to this RFI is not a prerequisite for future solicitations. Respondents are encouraged to

provide candid, high-level feedback that reflects current industry standards and

innovations that can help the City ensure any future RFP promotes equitable participation,

operational continuity, and fiscal sustainability.

1.2. Background

The City of Grand Junction currently contracts with a third-party vendor to provide EMS

billing services for emergency medical transport performed by the Grand Junction Fire

Department (GJFD). The existing contract is set to expire at the end of 2026.

In preparation for a new competitive solicitation, the City is evaluating how best to

structure the upcoming Request for Proposal (RFP) and is seeking input from industry

providers to inform its planning efforts.

GJFD delivers both advanced and basic life support services throughout the City and

portions of Mesa County. The department uses an electronic patient care reporting

(ePCR) system to document care and transport data.

As the City prepares for a new contract beginning in 2027, it is seeking a modern,

compliant, and transparent billing solution that promotes fiscal responsibility, supports

patient-centered billing, and identifies opportunities to increase revenue capture.

1.3. Disclaimer and Procurement Notice

• This RFI is issued strictly for planning and information gathering purposes. It will

not result in a contract award.

• Participation in this RFI is voluntary and not a prerequisite to respond to any future

solicitation.

RFI-5837-26-KF

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• Non-participation will not disqualify a firm from future consideration, nor will

participation give preference or any competitive advantage. Responses will not be

scored or evaluated.

• Responses may be subject to public disclosure under the Colorado Open Records

Act (CORA). Do not include proprietary or confidential information

Tentative Calendar of Events

• RFI Issued: January 30, 2026

• Deadline for Questions: February 9, 2026, end of business

• Addenda Issued (if required): February 12, 2026

• Response Submission Due: February 20, 2026, before 1:00 p.m. MST

Section 2.0: Objectives

The City is seeking input from industry providers to:

• Identify operational models and billing workflows.

• Understand onboarding and transition timelines.

• Evaluate integration methods with ePCR systems

• Identify value-added services that promote revenue integrity and patient

experience

• Validate assumptions regarding CMS/MEDICAID credentialing and legacy

A/R.

• Inform realistic RFP scope and implementation timelines

Responses will not be evaluated or scored; the RFI is strictly for information-gathering

and planning purposes.

Section 3.0: Information Requested

The City of Grand Junction seeks input from interested entities to better understand

standard practices, service delivery models, and potential value-added capabilities within

the EMS billing industry. The purpose of this section is to gather insight that will help

shape a future formal solicitation by ensuring the scope, requirements, and expectations

are both operationally appropriate and aligned with current market capabilities.

Respondents are encouraged to share information that reflects:

• Commonly accepted practices,

• Typical system capabilities,

• Standard onboarding and support approaches,

• Optional services that provide operational or financial benefits.

Submissions may also highlight innovative solutions, provided they are described in a

way that supports broad market understanding and transparency.

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3.1. Billing Service Model

• Describe end-to-end EMS billing workflow from data import to remittance.

• Explain how claims processing, denials, payer follow-up, and accounts

receivable reconciliations are managed.

• Outline the onboarding, implementation, and training support typically provided

to new clients.

• What options are available for increasing revenue or identifying lost

reimbursement opportunities?

• How are bill reductions (e.g., downgrades from paramedic to EMT level)

identified and addressed?

3.2. ePCR Integration & Data Exchange

The City seeks to understand how EMS billing service providers interface with

electronic patient care reporting (ePCR) systems and manage data transfer. Please

provide information on the following:

• Supported ePCR platforms and common integration methods (e.g., API, HL7,

batch upload).

• Accepted data formats and file types (e.g., XML, CSV, JSON, PDF).

• Escribe known constraints or limitations related to data volume, transfer

frequency, or manual entry.

• Typical information or resources required from the client (City) to facilitate data

integration?

• Whether EMS billing firms commonly serve as data repositories and, if so, what

HIPAA-compliant protocols are used for record retention and release.

3.3. Reporting, Dashboards & Analytics

The City seeks to understand available reporting capabilities, analytics functionality,

and transparency features offered by EMS billing providers. Please provide

information addressing the following:

• A description of standard reporting deliverables typically offered (e.g., cash

flow, payer mix, denial trends, run volume).

• Availability of real-time dashboards, including whether dashboards can be

customized by department, role, or data category.

• Common access methods for internal stakeholders (e.g., Finance Department,

EMS leadership) to review billing data and performance analytics.

• Key performance indicators (KPIs) that are typically reported by billing firms,

including standard reporting frequency and delivery format.

3.4. Compliance & Audit Support

The City seeks to understand how EMS billing service providers ensure compliance

with applicable laws and standards while supporting audit readiness and risk

RFI-5837-26-KF

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This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.

Emergency Medical Services (EMS) Billing, Claims Processing, and Revenue Cycle Management

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See also