Third Party Claims Data Matching

Agency:	State Government of South Dakota
State:	South Dakota
Type of Government:	State & Local
NAICS Category:	541611 - Administrative Management and General Management Consulting Services
Posted Date:	Feb 25, 2025
Due Date:	Apr 3, 2025
Solicitation No:	25RFP13686
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Event ID:	25RFP13686
Event Name:	Third Party Claims Data Matching
Published Date:	Feb 26, 2025, 01:09 AM KT
Event Due Date:	Apr 3, 2025, 07:00 AM KT
Invitation Type:	Invitation Only
Status:	Ready for Responses

Event ID: 25RFP13686

Published:

Feb 26, 2025
01:09 AM KT

Due Date:

Apr 3, 2025
07:00 AM KT

Award Date:

Q&A Cutoff Date:

Feb 26, 2025
02:07 AM KT

Invitation Type: Invitation Only

Event Description

The South Dakota Department of Social Services (Department) takes measures to ensure that it is the payer of last resource for applicable program benefits and seeks reimbursement when the Department has issued payment when a liable third party exists. This Request for Proposal (RFP) is to obtain the services of a vendor to operate in accordance with this RFP’s scope of work to identify third parties who are responsible for payment of the health, medical care, and other benefits available under the Department’s programs. The Department is also seeking the services of a vendor to prepare HIPAA compliant claims for submission to third parties from information provided by the Department. Preference will be given to vendors who will provide electronic claims submissions to insurers.

Offerors may email inquiries concerning this RFP to obtain clarification of requirements. No inquiries will be accepted after the date and time indicated in the Schedule of Activities. Inquiries must be emailed to Kirsten Blachford at Kirsten.Blachford@state.sd.us with the subject line RFP 13686 Inquiries.

The State will to respond to offeror’s inquiries (if required) via e-mail. In addition, all inquiries and the State’s responses will be posted on the state’s e-procurement system and the DSS website at http://dss.sd.gov/keyresources/rfp.aspx. Offerors may not rely on any other statements, either of a written or oral nature, that alter any specification or other term or condition of this RFP. Offerors will be notified in the same manner as indicated above regarding any modifications to this RFP.

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