5-A01D Addenda Checklist 0725.pdf

PDF 179 KB Posted

Attached to
OMS Coding and Billing Services
Solicitation number
RFP 745-26-P14
Issued by
Bexar County, Texas

About this file

This is an Addenda Checklist document from the University of Texas Health Science Center at San Antonio (UTHSCSA) Department of Purchasing, applicable to Request for Proposal (RFP) No. 745-26-P14 for OMS Coding and Billing Services. The RFP seeks qualified proposers to provide revenue cycle services for the Oral Maxillofacial Services (OMS) department, encompassing both medical and dental coding, billing, and collections operations. The University has determined that while it maintains adequate capacity for dental claims management, it lacks the bandwidth and expertise to maximize medical claims workflows and therefore intends to outsource comprehensive revenue cycle operations for both medical and dental-based claims. The checklist requires proposers to acknowledge receipt of any addenda issued for the RFP, with spaces to initial receipt of up to five numbered addenda or to confirm no addenda were issued.

The document serves as a standard form requiring authorized signature from the proposer, along with submission of the proposer's name, authorized representative's name and title, email address, and date of submission. UTHSCSA explicitly states that it does not solicit or guarantee any specific amount of compensation, volume, minimum, or maximum services under the RFP or any resulting contract. The addenda checklist is a mandatory component of proposal submission and ensures that all responding vendors confirm they have received all official modifications or clarifications to the original RFP requirements prior to proposal submission.

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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: OMS Coding and Billing
Text2: 745-26-P14
Date4_af_date:

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