Electronic Payment Services for Patient Billing

The University of Texas Health Science Center at San Antonio (UTHSA) has issued a Request for Proposal (RFP No. 745-26-P07) seeking a vendor to provide comprehensive Electronic Payment Services for Patient Billing across its healthcare system. The procurement requires a secure, reliable, and scalable electronic payment solution supporting multiple transaction channels including web, mobile, automated voice response (IVR), and in-person payments, with mandatory seamless integration into Epic MyChart. The solution must enable automated payment posting and daily reconciliation, serving 183 billing locations and processing approximately 60,000 healthcare payments monthly. Minimum vendor qualifications include five years of healthcare payment processing experience, TX-RAMP Level II certification, SOC 2 Type II audit certification, and compliance with HIPAA, PCI-DSS, and Texas accessibility requirements. The RFP evaluation will assess proposals based on cost (40 points), service quality (10 points), extent of meeting University needs (30 points), vendor reputation (5 points), past University relationship (10 points), and terms and conditions exceptions (5 points). Key dates include a pre-proposal meeting on December 11, 2025, questions deadline of December 18, 2025, and proposal submissions due by January 15, 2026, at 3:00 PM Central Time via the Euna e-Procurement portal.

The RFP requires vendors to submit a completed Historically Underutilized Businesses (HUB) Subcontracting Plan, indicating a commitment to supporting Texas' HUB program and promoting diversity in contracting. Proposers must directly integrate with Frost Bank and provide settlement services that fund transactions within two business days, with seven-year reporting retention. While no specific award value or budget range is explicitly stated, UTHSA emphasizes there is no guarantee of minimum or maximum service volume or compensation. The vendor must support cloud computing services and comply with Texas Risk and Authorization Management Program (TX-RAMP) requirements, as mandated by Senate Bill 475. Additionally, the contract includes a Business Associate Agreement requiring strict protection of Protected Health Information, with prohibitions on using data for artificial intelligence training without prior coordination. The initial contract term is anticipated to be three years, with potential for two additional one-year renewal periods, and proposers must maintain proposal validity for 180 days after the submission deadline.