Web-Based Utilization Management Review System
Overview
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SUMMARY
KEY REQUIREMENTS
BUDGET
EstimateCONTRACT DURATION
TIMELINE
CONTACTS
Primary procurement contact — name, title, email, and phone
Additional decision-makers and their departments
Issuing Agency
Indian Health Service
DESCRIPTION
The organization is seeking a vendor to provide a web-based utilization management review system that supports data collection, patient safety initiatives in hospital inpatient units, admission criteria, and length-of-stay standards. The platform must support inpatient and post-surgical care, ambulatory care, chronic care, patient information management, multiple-condition management, standalone case management admission support, and transitions of care.
The system should provide an intuitive, easy-to-learn workflow that enables care managers to document care decisions efficiently using current clinical evidence and establish medical necessity. Required workflows include prospective, concurrent, and retrospective utilization reviews. The platform must also include evidence-based tools for readmission risk assessment, automated alerts, and reporting to identify and reduce preventable readmissions.
The software must generate a range of utilization review reports and allow users to enter diagnosis and procedure codes to access the platform's functionality. The anticipated contract period is five years.
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Frequently asked questions
- When is the submission deadline?
- This RFP closed on September 10, 2026 and is no longer accepting submissions.
- What is the budget for this RFP?
- Settle estimates the budget at $50,000 – $150,000. The issuer has not published an official figure.
- Who issued this RFP?
- It was issued by Indian Health Service. The work is located in Red Lake, Minnesota, United States; Cass Lake, Minnesota, United States.
- Who is a good fit for this opportunity?
- Healthcare software providers specializing in utilization management and care management platforms
- Proven experience supporting inpatient, ambulatory, chronic, and transitional care workflows
- Expertise in evidence-based clinical decision support and medical necessity review
- Capability to deliver secure web-based systems with coding, alerts, analytics, and reporting functionality
- Experience serving hospitals, health systems, or public-sector healthcare organizations
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.