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Medical Bill Adjustment Software

Overview


Software, Web & Mobile Development
Boston, Massachusetts, United StatesPosted: May 19th, 2026Deadline: June 15th, 2026

Fit Score


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SUMMARY


The City of Massachusetts requires a medical bill adjustment software system with integration to its current case management software for workers' compensation claims.

KEY REQUIREMENTS


BUDGET

Verified

$100,000 – $300,000

CONTRACT DURATION


34 months

TIMELINE


RFP Issue Date: May 18th, 2026

Pre-Proposal Q&A Conference Call: May 26th, 2026

Questions Due: May 29th, 2026

Consolidated Q&A Posted: June 4th, 2026

Proposal Due Date: June 15th, 2026

Vendor Interviews/Demonstrations: June 18th - 25th, 2026

Contractor Selected: Late June, 2026

QUESTION DEADLINE


May 29th, 2026

Issuing Agency


City Of Boston

Organization overview and procurement intelligence available on paid plans.

DESCRIPTION


The City is seeking a vendor to provide medical bill adjustment software tailored for processing workers' compensation claims. The software should enable digitization of key information from paper medical bills and accurately calculate adjusted reimbursement rates in accordance with allowable compensation guidelines.

The system must seamlessly integrate with Assure Claims, the City's existing case management software for workers' compensation cases. Functionality should include importing claim and vendor data from Assure Claims, creating individual cases for each worker owed compensation, and associating all related medical bills to each case and vendor ID. Additional features required are the ability to upload and analyze scans of physical medical bills, link bills to parent claims, assign and verify bills, and execute reimbursement calculations.

Vendors are requested to submit their questions by May 29, 2026. A pre-bid meeting is scheduled for May 26, 2026.

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Frequently asked questions

When is the submission deadline?
Submissions are due June 15, 2026. Questions must be submitted by May 29, 2026.
What is the budget for this RFP?
The published budget is $100,000 – $300,000.
Who issued this RFP?
It was issued by City Of Boston. The work is located in Boston, Massachusetts, United States.
Who is a good fit for this opportunity?
  • Experience developing or implementing medical billing and reimbursement software
  • Familiarity with workers' compensation billing processes
  • Capability to integrate with third-party case management platforms (e.g., Assure Claims)
  • Proven track record with municipal or government clients
  • Ability to provide implementation, training, and ongoing support

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