Medical Claims Transmission and Remittance Service
Location:
South Dakota, United States
Posted on:
Dec 23, 2025
Deadline:
Dec 29, 2025
Summary:
Seeking a secure software solution for medical claims transmission, remittance, and connectivity to Medicare and other payers in South Dakota.
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Vendor needs to provide medical claims transmission and remittance service. Agency requires a secure exchange data software solution to provide connectivity to Medicare systems and clearinghouse services. The contractor shall provide a secure exchange data software solution that provides technology for: Connectivity to Medicare electronic claims submission systems and real-time claim status inquiry capabilities; Eligibility verification for third party payers to include Medicare and Medicaid; Third party insurance medical claims validation, approval and processing services via a clearinghouse for Medicare, Medicaid, VA and Commercial Payers for the agency Service Unit; Ability to process all claim types: Inpatient, Outpatient and Specialty Clinics; Secure internet-based connectivity to all current Medicare Administrative Contractors (MACs) and other payers; Ability to send medical inpatient, outpatient, day surgery and specialty claims to Medicare contractors using secure data exchange technology; Automated batch 837/835 file transfers; Automated batch 276/277 claims status inquiry and response capability.
