RFI Payment Integrity – Pre-Pay & Post-Pay Capabilities

Agency: Inland Empire Health Plan
State: California
Type of Government: State & Local
NAICS Category:
  • 541611 - Administrative Management and General Management Consulting Services
Posted Date: Apr 1, 2026
Due Date: May 1, 2026
Solicitation No: RFI-26-07123
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Reference #: RFI-26-07123. Name: RFI Payment Integrity – Pre-Pay & Post-Pay Capabilities

Description: REQUEST FOR INFORMATION (RFI): IEHP’s Finance – Provider Resolution & Recovery Department is seeking information from qualified vendors on Payment Integrity capabilities spanning Pre-Pay and Post-Pay domains. IEHP seeks solutions that reduce improper payments before adjudication, recover overpayments retrospectively, detect fraud, and improve overall payment accuracy across Medi-Cal, Medicare Advantage (D-SNP), and Covered California claims operations. Vendors may offer capabilities in one or more of the areas described in this RFI. Project closes May 01, 2026 2:00 PM PDT.

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