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Roswell Park Comprehensive Cancer Center (“Roswell Park”) is issuing this Request for Proposals (RFP) to solicit proposals from qualified vendors for a single, integrated revenue integrity and patient financial software platform.
The desired solution will support automated, auditable, and operationally usable workflows across multiple hospital revenue‑cycle functions, including:
Underpayment reporting and recovery based on modeled contract terms
Payer contract management and performance analytics, including scenario modeling
Patient financial estimates, projections, and financial assistance workflows
Eligibility verification and payer/product matching, including coverage discovery
Roswell Park’s objective is to select a vendor that can demonstrate automation, data integration, audit readiness, and measurable financial impact with minimal reliance on manual processes. Roswell Park strongly prefers a single‑vendor platform delivered under one agreement with an integrated implementation and support model.
This RFP is intended to support an expedited qualification and shortlisting process.
Bidders are advised to carefully review and consider the RFP requirements before submitting their proposal responses; all as further set forth in this RFP.
Business enterprises awarded an identical or substantially similar procurement contract within the past five years:
None
Minority / Women Business Enterprise contracting goals (MWBE)
Total MWBE Goals: 0.00%
<div class="bg-primary text-white fw-bold p-2 collapse-toggle"The scope of this RFP includes the provision of a software platform and related services capable of supporting functional requirements including underpayment reporting and recovery, payer contract management and performance analytics, patient financial statements and estimates, eligibility verification and payer/product matching, and authorization management. The platform must support contract-based expected reimbursement calculation, identification of payment variances, recovery and appeal workflow support, configuration of payer contract terms, what-if modeling, patient-specific out-of-pocket estimates, automated financial assistance screening, real-time and batch eligibility verification, coverage discovery, prior authorization initiation and tracking, real-time authorization status verification, rules-based identification of services requiring authorization, automated authorization alerts, concurrent authorization monitoring, retrospective authorization identification, authorization-to-claim matching, denial reason tracking, and audit-ready documentation of all authorization activity.
Source: New York State Contract Reporter (CR# 2136958), retrieved via the nyscr.ny.gov statewide procurement bulletin. View the official posting , always confirm requirements and deadlines with the issuing agency.