Provider Credentialing & Payer Enrollment

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	EL PASO COUNTY HOSPITAL DISTRICT D/B/A






Request for Proposal 

Provider Credentialing & Payer Enrollment
RFP # 911-08-26-001
August 10, 2026





SUBMITTAL CHECKLIST

Due Date: September 16, 2026 @ 2:00 p.m. Mountain Time (MT)

Request Number:RFP 911-08-26-001Vendor Name:Vendor Address:Contact Name:Phone Number:Contact E-Mail:
***It is absolutely essential that the following three documents are signed.  Failure to complete and sign any of these will result in rejection of your response***  

Check-off 


1. ____    Signed and completed Response Agreement.

2. ____    Signed and completed Conflict of Interest Questionnaire (submission of an RFP/RFQ response constitutes doing business). A signature is required in box #7 regardless of any other entry on the form.

3. ____    Signed and completed Public Integrity Disclosure.


Acknowledge Addendums Received (as applicable)

____ Addendum 1 

____ Addendum 2

____ Addendum 3

____ Addendum 4

____ Addendum 5

 



___________________________		________________________

Signature						Date


TABLE OF CONTENTS

Page Number

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1.	OBJECTIVE	 PAGEREF _Toc236642262 \h 
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2.	BACKGROUND	 PAGEREF _Toc236642263 \h 
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3.	SCOPE OF SERVICES	 PAGEREF _Toc236642264 \h 
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4.	EVALUATION FACTORS FOR AWARD	 PAGEREF _Toc236642265 \h 
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5.	FEATURES	 PAGEREF _Toc236642266 \h 
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6.	SELECTION TIMETABLE	 PAGEREF _Toc236642267 \h 
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7.	PROCEDURE	 PAGEREF _Toc236642268 \h 
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8.	RESPONSE AGREEMENT	 PAGEREF _Toc236642269 \h 
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9.	GENERAL TERMS AND CONDITIONS	 PAGEREF _Toc236642270 \h 
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10.	CONFLICT OF INTEREST QUESTIONNAIRE	 PAGEREF _Toc236642271 \h 
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11.	PUBLIC INTEGRITY DISCLOSURES	 PAGEREF _Toc236642272 \h 
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OBJECTIVE 

El Paso Country Hospital District d/b/a University Medical Center of El Paso is soliciting sealed proposals for a credentialing program. The primary objective of a credentialing program is to formally assess, verify, and validate a Providers qualifications, education, and professional experience. It ensures practitioners meet established industry standards, safeguards public safety by preventing unqualified individuals from practicing, and limits liability for organizations.

The objective of this Request for Proposal (RFP) is to identify and engage a qualified vendor to provide provider credentialing, recredentialing, payer enrollment, and related technology services that support University Medical Center's (UMC) regulatory, operational, and revenue cycle requirements.

The selected vendor will provide expertise, technology, project management, and operational support necessary to ensure providers are appropriately credentialed, enrolled, and maintained in accordance with applicable federal and state regulations, accreditation standards, payer requirements, and organizational policies. Services shall support timely provider onboarding, recredentialing, payer enrollment, ongoing compliance monitoring, and accurate maintenance of provider records.

UMC seeks a comprehensive credentialing and enrollment solution that improves efficiency, reduces administrative burden, mitigates organizational risk, enhances provider readiness, and minimizes delays in reimbursement associated with provider enrollment activities.

The vendor shall provide and maintain a secure credentialing and enrollment platform, facilitate the migration and management of provider records, support ongoing operational activities, and provide training and knowledge transfer necessary for UMC to assume operational responsibility at the conclusion of the implementation period.

BACKGROUND

The El Paso County Hospital District is a not-for-profit, community-owned healthcare organization operating in El Paso, Texas, providing acute care services as well as outpatient and primary care services spanning virtually all major healthcare service lines.  University Medical Center of El Paso is the largest public hospital located directly on the U.S./Mexico border and it is the only teaching hospital in the West Texas/Southern New Mexico region, affiliated with the Texas Tech University Health Sciences Center El Paso.  It also has affiliation agreements with numerous educational institutions in the region, including the University of Texas at El Paso, Southwest University, El Paso Community College, and others. Accredited by the Joint Commission and licensed for 354 beds, the hospital admits approximately 16,000 patients each year.  Approximately 70,000 patients are seen in its Emergency Department annually. The University Medical Center of El Paso also serves as the regions only Level 1 Trauma Center. The hospital is also a Center of Excellence in Mother/Baby care and a Level 4 Maternal Care facility (the highest level of care possible). One third of all babies born in El Paso County annually are born at UMC of El Paso. University Medical Center of El Paso is also the regions only Joint Commission-certified Comprehensive Level 1 Stroke Center.  

The hospital began in 1915 as El Paso County Hospital. Its mission today is To Heal, To Serve and To Educate. 
University Medical Center of El Pasos Vision is: To be the first choice for healthcare in the Southwest. 
We are committed to C.A.R.E.S values throughout the El Paso County Hospital District: 
Community  Pursue access to healthcare for all members of our community.
Accountability  Embrace responsibility for the outcomes resulting from our choices and actions.
Respect  Treat everyone with dignity and compassion.
Excellence  Provide the highest quality of care.
Service  Exceed each customers expectations every time. 
University Medical Center of El Paso is a university-affiliated teaching hospital, sharing its campus with the Texas Tech University Health Sciences Center El Paso. Texas Tech Universitys medical school designated UMC of El Paso as its primary teaching facility in 1973. Resident physicians receive post-graduate training in Family Practice, Anesthesiology, Psychiatry, Pathology, Radiology, Surgery, Emergency Medicine, Orthopedic, and other specialties/fields. 

Additionally, Allied Health Career students receive their clinical training at University Medical Center of El Paso through memorandums of agreements with the University of Texas at El Paso, the El Paso Community College, New Mexico State University and 50 other educational institutions.

Twice in the 1990s and again in 2008, UMC of El Paso was recognized as one of the nations top performing hospitals in a study titled 100 Top Hospitals: Benchmarks for Success.  
Since the early 1990s, UMC of El Paso has been designated by the White House as the primary hospital to provide medical care to the President and Vice President of the United States, should it be needed during their visits through the region.

SCOPE OF SERVICES  

University Medical Center (UMC) is seeking Provider Credentialing and Payer Enrollment services ensuring that professionals licensure or certification, training, experience, possession of special skills, competence, and all other pertinent background information be met as required by the NCQA (National Committee on Quality Assurance), state and federal law, including but not limited to Texas Administrative Code, Part I, Chapter 412, Subchapter G, Division 2, Organizational Standards, Rule 412.316 Competency and Credentialing. UMC will consistently utilize established standards, which should include but not be limited to the following current and/or active regulations by: NCQA, TDI (Texas Department of Insurance), DEA (Drug Enforcement Agency), respective board(s) certification and/or applicable Texas State licensu