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.

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Submit your next proposal, within 48 hours or less

Stay ahead with the latest advancement in proposal automation.

BG

Submit your next proposal, within 48 hours or less

Stay ahead with the latest advancement in proposal automation.