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: |
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| Solicitation No: | RFI-26-07123 |
| Publication URL: | To access bid details, please log in. |
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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