RFP - FPS - Medical Bill Review and Payment

The City of Minneapolis Finance and Property Services Department is requesting proposals for medical bill review and provider payment services supporting the City's self-insured, self-administered Workers' Compensation program, with proposals due October 6, 2026 at 2:00 p.m. CDT. The City encourages participation by certified Minority-Owned and Women-Owned Business Enterprises and will evaluate Small & Underutilized Business Program participation as an evaluation criterion, though no specific set-aside percentages are established.

The scope covers bill review, provider payment processing after network discounts, and integration with the City's RiskMaster (RMX) claims management system for a Workers' Compensation program covering approximately 4,000 employees. Annual medical services billing exceeds $3 million. Proposers must submit detailed cost proposals including hourly rates, minimum billing increments, direct costs, and payment billing schedules; the RFP does not establish specific pricing.

The contract term is three years with an option for the City to extend for two additional years through December 31, 2031. Service commencement is anticipated January 1, 2027. Contractors must comply with the City's standard terms and conditions for contracts exceeding $175,000, including Professional Liability insurance of $2 million per claim / $2 million annual aggregate and Cyber Liability insurance of $1 million per occurrence / $2 million annual aggregate. Contractors must maintain an Affirmative Action Plan approved by the Minneapolis Department of Civil Rights, comply with prevailing wage requirements, and adhere to the Minneapolis Living Wage Ordinance and Minnesota Government Data Practices Act. Questions were due September 21, 2026, with responses posted by September 28, 2026. The City reserves the right to reject any or all proposals and does not commit to accepting the lowest cost proposal. Contact: Aksana Belik, 612/673-2177 or Aksana.Belik@minneapolismn.gov.