Medicaid Third Party Provider Service
Overview
Fit Score
Settle Intelligence
Settle helps teams find, evaluate, and respond to public RFPs. We continuously surface new opportunities, score them against your company strengths, and draft proposal responses so you can focus on the work that wins business.
SUMMARY
DESCRIPTION
The issuing agency seeks a vendor to provide Medicaid third-party provider services in Arizona. The scope includes report generation to support analysis of Medicaid records and future program maximization, as well as submission of error-free claims to Medicaid.
The selected firm will be responsible for generating reports for each billing cycle and additional reports upon request, researching denied claims, and reconciling Medicaid remittances. The service is also expected to provide full administration for the direct service claiming program, support billable services, and deliver billing reports.
The solution must include a toll-free hotline and a web page for designated program administrators to access technical assistance and billing information. The agency also requires electronic web-based billing capabilities designed to simplify billing processes, reduce paper flow, and lessen administrative workload for staff. Questions are due by May 15, 2026, and the anticipated contract term is five years.
Source attribution
This Settle analysis is based on the issuing organization’s public RFP listing.