Cloud-Based Prior Authorization and 340B AI Solution
Overview
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SUMMARY
KEY REQUIREMENTS
CONTRACT DURATION
TIMELINE
Questions/Requests for clarification due: August 31st, 2026
Response to questions/requests for clarifications issued: September 4th, 2026
Proposal Due Date and Time: September 15th, 2026
Presentation, Demonstration, Interview: November 2026
Anticipated Notification of Award: Winter 2026
Anticipated Contract Start Date: Summer 2027
QUESTION DEADLINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
Suny Upstate Medical University
DESCRIPTION
The agency seeks a vendor to provide a cloud-based prior authorization and 340B artificial intelligence solution. The solution should streamline pharmacy and medical benefit prior authorizations, specialty and infusion authorizations, and 340B optimization through secure, scalable technology integrated with existing systems and electronic medical records. It should use AI to retrieve clinical information, identify unstructured data in scanned documents, support form completion, reduce investigation time, improve throughput, minimize staffing needs and therapy delays, and provide actionable analytics.
The platform must use a cloud-based architecture with all hosted servers located at the agency. Required functionality includes a web-based interface for real-time prior authorization tracking, disease- and drug-specific workflow intelligence, prior authorization throughput metrics, secure data integrations, and the ability to contact payors through IVR systems for status updates on authorizations, appeals, and coverage determinations. Vendors must be able to demonstrate a first-pass insurance authorization approval rate exceeding 80 percent.
The vendor must provide unlimited 24/7 account support, onsite implementation and initial user training, and optional consulting services for training, report development, customizations, and new functionality. Reporting capabilities must include real-time pharmacy operations analytics, approval and denial rates, turnaround times, 340B optimization and audit analytics, and reporting on historical 340B system data. The contract period will be five years, and questions must be submitted by August 31, 2026.
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Frequently asked questions
- When is the submission deadline?
- This RFP closed on September 15, 2026 and is no longer accepting submissions.
- Who issued this RFP?
- It was issued by Suny Upstate Medical University. The work is located in Syracuse, New York, United States.
- Who is a good fit for this opportunity?
- Healthcare technology provider specializing in prior authorization automation and 340B management
- Demonstrated expertise in artificial intelligence, clinical data extraction, and electronic medical record integration
- Proven ability to deliver secure, scalable cloud platforms with agency-hosted infrastructure
- Experience supporting pharmacy, medical, specialty, and infusion authorization workflows
- Strong 340B analytics, optimization, auditing, and historical data reporting capabilities
- Provider of 24/7 support, onsite implementation training, and healthcare consulting services
- Demonstrated first-pass authorization approval rates above 80 percent
Analysis generated by Settle AI from the source RFP.
RFP Hunter shows what is open. Settle shows what is forming.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.