Active SLED Opportunity · CALIFORNIA · INLAND EMPIRE HEALTH PLAN
AI Summary
IEHP seeks information from vendors on payment integrity solutions for pre-pay and post-pay claims to reduce improper payments, recover overpayments, detect fraud, and improve payment accuracy for Medi-Cal, Medicare Advantage, and Covered California.
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.
SLED stands for State, Local, and Education. These are solicitations issued by state governments, counties, cities, school districts, utilities, and higher education institutions — as opposed to federal agencies.
SamSearch Platform
AI-powered intelligence for the right opportunities, the right leads, and the right time.