Overpayment Resolution Services
Closed State & local contract opportunity
- Solicitation number
- 66000-2526-225
- State
- California
- Responses due
Opportunity facts
- Jurisdictions
- NIGP codes
- 20810 Accounting/Financial: Bookkeeping, Billing And Invoicing, Budgeting, Payroll, Taxes, Etc.
- 20911 Accounting/Financial: Bookkeeping, Billing And Invoicing, Budgeting, Payroll, Taxes, Etc.
- 94610 Accounting And Billing Services (Including Payroll Services, 3Rd Party Reimbursement For Medicare, Medicaid, Private Insurance, Etc)
- 94636 Credit Investigation And Reporting
- 96105 Arbitration, Mediation, And Alternative Dispute Resolution Services
- 96338 Fees, Credit Card
- UNSPSC codes
- 43231600 Finance accounting and enterprise resource planning ERP software
- 43231516 Audit software
- 43231605 Time accounting software
- 84141601 Consumer credit gathering or reporting services
- 92111501 Dispute mediation or conciliation or negotiation or settlement
- 43231603 Tax preparation software
- 43231607 Billing and invoicing software
- 81162309 Payroll process as a service
- 84111507 Inventory accounting service
- 43231602 Enterprise resource planning ERP software
Show all 21
- 84111500 Accounting services
- 84141701 Business credit gathering or reporting services
- 93151514 Ombudsman services
- 43231601 Accounting software
- 43231604 Financial analysis software
- 81162301 Accounts payable process as a service
- 84111505 Payroll accounting services
- 93151606 Government accounting services
- 84141500 Governmental credit agencies
- 84141700 Business credit agencies
- 84141702 Value added network VAN services
- Point of contact
-
- SMMC Contracting smmc_contracting@smcgov.org (650) 573-2222
Opportunity details come from procurement.opengov.com. Updated .
About this opportunity
San Mateo County, specifically San Mateo Medical Center (SMMC), is seeking proposals for Overpayment Resolution Services through RFP No. 66000-2526-225. The procurement aims to engage a contractor to review the County's contracts, records, systems, and patient data to resolve credit balance and overpayment accounts. Key deliverables include completing Claims Inquiry Forms for Medi-Cal and creating overpayment resolution requests for the Health Plan of San Mateo and other payers according to their specific guidelines. The solicitation was released on November 17, 2025, with proposals due by 1:00 pm on December 19, 2025, and no pre-proposal conference or site visit is planned. The contract will have a five-year term, and proposals will be evaluated by a committee using a points-based scoring system across five criteria: Project Approach (30 points), Firm Qualifications (25 points), Team Qualifications (20 points), Price (25 points), and Preferential Points (10 points).
The County has implemented a Procurement Preference for Local Businesses Ordinance, which provides scoring advantages for local businesses, non-profits, and small or micro businesses. Proposers must submit electronic submissions through the eProcurement portal, with specific formatting requirements including 12-point Times New Roman font and PDF format preferred. The procurement includes several compliance requirements, such as adherence to HIPAA Business Associate regulations, intellectual property rights assignments, Section 504 accessibility compliance, and living wage ordinance standards. Contractors must also complete fingerprinting certifications for personnel with potential child contact and comply with the county's corporate compliance code of conduct. While no specific budget range is explicitly stated, the RFP indicates the contract is for comprehensive overpayment resolution services with potential significant financial implications for the medical center's revenue cycle management.
Opportunity text
San Mateo Medical Center (SMMC) is a public hospital and clinic system fully accredited by The Joint Commission. SMMC operates outpatient clinics throughout San Mateo County, an acute-care hospital, and long-term care facilities in San Mateo and Burlingame. San Mateo Medical Center serves the health care needs of all residents of San Mateo County, with an emphasis on education and prevention, and without regard for ability to pay.
The County of San Mateo is seeking proposals for Overpayment Resolution Services.
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