When is the submission deadline?

Submissions are due July 29, 2026. Questions must be submitted by July 17, 2026.

It was issued by Roswell Park Comprehensive Cancer Center. The work is located in Buffalo, New York, United States.

Who is a good fit for this opportunity?

Healthcare revenue cycle technology provider. Experience serving hospitals and health systems. Proven platform for reimbursement analytics and contract performance management. Capabilities in patient financial estimates, eligibility, and financial assistance workflows. Integration expertise with payer portals, clearinghouses, and X12 278 standards. Strong audit, reporting, and compliance-focused workflow design. Ability to support enterprise implementation and multi-year service delivery.

Revenue Integrity, Managed Care Contract Performance and Patient Financial Platform (Due July 29, 2026)

Overview

Software, Web & Mobile Development

Buffalo, New York, United StatesPosted: July 8th, 2026Deadline: July 29th, 2026

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SUMMARY

A New York issuer is seeking a five-year platform solution for revenue integrity, managed care contract performance, and patient financial workflows in a hospital revenue-cycle environment. The platform must support reimbursement analytics, eligibility verification, authorization tracking, denial workflows, and patient estimate capabilities.

KEY REQUIREMENTS

Must be a single vendor platform covering underpayment, contract management, patient estimates, and eligibility verification
Must demonstrate measurable financial impact and audit readiness
Must be capable of integrating with a successor EHR environment within 3.5 to 4 years
Must maintain minimum insurance coverages including $10M umbrella/excess liability and $5M cyber liability
Must comply with HIPAA, PCI DSS, and NYS Executive Order No. 16
Must provide at least three client references, including one NCI designated cancer center
Must submit a signed Non-Collusion Affidavit and Disclosure Form
Must provide an EEO Policy Statement and EEO Staffing Plan if contract value exceeds $25,000

CONTRACT DURATION

36 months

TIMELINE

Issue Date: July 8th, 2026

Question Due Date: July 17th, 2026

Proposal Due Date: July 29th, 2026

QUESTION DEADLINE

July 17th, 2026

CONTACTS

Primary procurement contact — name, title, email, and phone

Additional decision-makers and their departments

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Issuing Agency

Roswell Park Comprehensive Cancer Center

Organization overview and procurement intelligence available on paid plans.

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DESCRIPTION

A New York-based issuing organization is seeking a vendor to provide a revenue integrity, managed care contract performance, and patient financial platform. The desired solution must support automated, auditable, and operationally usable workflows across multiple hospital revenue-cycle functions.

Required capabilities include patient financial estimates, projections, and financial assistance workflows; contract-based expected reimbursement calculation at the claim and line level; identification and prioritization of payment variance and underpayments; and patient-specific out-of-pocket estimates using eligibility and pricing inputs. The platform should also provide automated estimate triggers, multi-channel delivery, audit-ready reporting comparing estimates to actual reimbursement, automated financial assistance screening, patient self-service workflows, and real-time and batch eligibility verification.

The solution must further support denial reason tracking and appeal workflow integration for authorization-related denials, with outcomes reporting. It should maintain audit-ready documentation of all authorization activity, including request submissions, payer responses, status changes, and user actions, and enable real-time authorization status verification through payer portal integration, clearinghouse connectivity, and X12 278 transaction standards.

Questions are due by July 17, 2026. The resulting contract will have a five-year term.

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Frequently asked questions

When is the submission deadline?: Submissions are due July 29, 2026. Questions must be submitted by July 17, 2026.
Who issued this RFP?: It was issued by Roswell Park Comprehensive Cancer Center. The work is located in Buffalo, New York, United States.
Who is a good fit for this opportunity?: Healthcare revenue cycle technology provider
Experience serving hospitals and health systems
Proven platform for reimbursement analytics and contract performance management
Capabilities in patient financial estimates, eligibility, and financial assistance workflows
Integration expertise with payer portals, clearinghouses, and X12 278 standards
Strong audit, reporting, and compliance-focused workflow design
Ability to support enterprise implementation and multi-year service delivery

Analysis generated by Settle AI from the source RFP.

RFP Hunter shows what is open. Settle shows what is forming.

Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.

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