3-A01D Addenda Checklist 0725.pdf

PDF 229 KB Posted

Attached to
Electronic Payment Services for Patient Billing
Solicitation number
RFP 745-26-P07
Issued by
Bexar County, Texas

About this file

This is an Addenda Checklist form issued by the Department of Purchasing at The University of Texas Health Science Center at San Antonio (UTHSCSA) for RFP No. 745-26-P07, which seeks proposals for Electronic Payment Services for Patient Billing. The form serves as a standardized acknowledgment document requiring proposers to confirm receipt of any addenda issued to the RFP. The checklist includes spaces for proposers to initial acknowledgment of up to five potential addenda, with options to indicate if no addenda were issued. Proposers must complete the form by providing their company name, authorized representative signature, contact information, and submission date before submitting their proposal to UTHSCSA.

The Electronic Payment Solution being solicited must support secure, reliable, and scalable payment processing across multiple channels including web, mobile, automated voice response (IVR), and in-person transactions, with seamless integration into Epic MyChart and automated payment posting capabilities. The solution must enable daily reconciliation of payments. UTHSCSA explicitly states there is no guarantee of volume, minimum, or maximum compensation amounts under this RFP or any resulting contract. All proposers are required to complete and submit the Addenda Checklist as part of their formal proposal package to demonstrate acknowledgment of all amendments or clarifications issued during the solicitation period.

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Text version

DEPARTMENT OF PURCHASING | HUB PROGRAMS | Mail Code 7962 | 7703 Floyd Curl Drive | San Antonio, Texas 78229-3900

210.562.6200 | www.uthscsa.edu | https://wp.uthscsa.edu/purchasing/

OGC Template 0725

SECTION 4

ADDENDA CHECKLIST

Proposal of: ____________________________________________________________________ (Proposer Name)

To: The University of Texas Health Science Center at San Antonio

RFP No.: _________________________

Ladies and Gentlemen:

The undersigned Proposer hereby acknowledges receipt of the following Addenda to the captioned RFP (initial blanks for any Addenda issued).

No Addenda ______ No. 1 _____ No. 2 _____ No. 3 _____ No. 4 _____ No. 5 _____

Respectfully submitted, Proposer: ________________________

By: ______________________________ (Authorized Signature for Proposer)

Name: ___________________________

Title: ____________________________

Email: ___________________________

Date: ____________________________ file://cfs/links/FS/Purchasing/Z_SHARED%20Management/BIDS/FY2022/1%20RFP%20745-22-PXX%20Master%20File%20February%202022/1_Working%20Documents/1_Draft%20Documents/www.uthscsa.edu https://wp.uthscsa.edu/purchasing/

Proposal of:
No Addenda:
No 1:
No 2:
No 3:
No 4:
No 5:
Proposer:
Name:
Title:
Email:
Text1: Electronic Payment Services for Patient Billing
Text2: 745-26-P07
Date4_af_date:

File details come from the government source that posted it. Updated .