RFI Payment Integrity – Pre-Pay & Post-Pay Capabilities

Location: California
Posted: Apr 16, 2026
Due: May 15, 2026
Agency: Inland Empire Health Plan
Type of Government: State & Local
Category:
  • R - Professional, Administrative and Management Support Services
Solicitation No: RFI-26-07123
Publication URL: To access bid details, please log in.
Reference #: RFI-26-07123. Name: RFI Payment Integrity – Pre-Pay & Post-Pay Capabilities

Description: REQUEST FOR INFORMATION (RFI): IEHP’s Finance – Provider Resolution & Recovery Department is seeking information from qualified vendors on Payment Integrity capabilities spanning Pre-Pay and Post-Pay domains. IEHP seeks solutions that reduce improper payments before adjudication, recover overpayments retrospectively, detect fraud, and improve overall payment accuracy across Medi-Cal, Medicare Advantage (D-SNP), and Covered California claims operations. Vendors may offer capabilities in one or more of the areas described in this RFI. Project closes May 15, 2026 2:00 PM PDT.

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