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Revenue Cycle Solution

Overview


Software, Web & Mobile Development
California, United StatesPosted: June 24th, 2026Deadline: August 31st, 2026

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SUMMARY


Seeking a comprehensive and AI-enabled revenue cycle solution to improve medical coding accuracy, denial management, automation, and workflow efficiency within healthcare financial operations.

KEY REQUIREMENTS


TIMELINE


Question Deadline: July 17th, 2026

Closing Date: August 31st, 2026

QUESTION DEADLINE


July 17th, 2026

Issuing Agency


County Of Santa Clara

Organization overview and procurement intelligence available on paid plans.
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DESCRIPTION


The organization is seeking proposals for an innovative and scalable revenue cycle solution to support critical operational functions and enhance key financial and administrative processes. The preferred solution should include autonomous or rules-driven tools that improve the accuracy, efficiency, and throughput of medical coding for both professional and facility services.

Vendors are expected to provide AI-enabled or systematic platforms capable of identifying potential claim denials—including those related to coding—before and after submission, supporting automated or semi-automated appeal generation, and producing actionable analytics on denial and underpayment trends. The platform should detect underpayments, facilitate comprehensive billing denial management, and provide systematic support for medical coding and prior-authorization processes.

Advanced solutions should streamline workflows, reduce manual tasks, improve performance, and ensure compliance with regulatory and payer guidelines. Features such as charge capture assistance, coding validation, quality reviews, improved collections, reduced rework, and strengthened revenue integrity are highly desired. Questions regarding the RFP must be submitted by July 17, 2026.

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Frequently asked questions


When is the submission deadline?
Submissions are due August 31, 2026. Questions must be submitted by July 17, 2026.
Who issued this RFP?
It was issued by County Of Santa Clara. The work is located in California, United States.
Who is a good fit for this opportunity?
  • Proven expertise in healthcare revenue cycle management solutions
  • Experience deploying AI-driven or automated coding and denial management tools
  • Ability to provide scalable and compliant technology
  • Track record of successful implementation for large healthcare organizations
  • Familiarity with U.S. regulatory and payer requirements

Analysis generated by Settle AI from the source RFP.

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