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Claims Processing Modernization

Active
20250307017State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

AI Contract Overview

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The New York City Office of the Comptroller (Comptroller) is seeking a single qualified service partner through a Request for Proposals (RFP) to provide system implementation services for the OAISIS Claims Processing Modernization project. The project aims to replace the existing decades-old Omnibus Automated Imaging Storage and Information System (OAISIS) that currently supports claims processing, contracts, labor law, and batch document scanning within the Comptroller’s Office. The new system will specifically focus on replacing the claims processing functionality along with the public-facing eClaims portal, while also implementing a data warehouse to facilitate reporting, analytics, and archival of historical data. The Comptroller's Office, under the authority of New York City Charter Chapter 5, Section 93(i), oversees the resolution of claims on behalf of the City, and the modernization effort seeks a technology-agnostic, cloud-based solution meeting detailed functional and non-functional requirements. Interested and qualified firms are encouraged to register and download the full RFP from the Comptroller’s official website, which outlines the comprehensive scope of work and participation instructions. Queries can be directed via email to the designated contact, Alison MacLeod. Additionally, this procurement adheres to participation goals for Minority Business Enterprises (MBE) and Women’s Business Enterprises (WBE) as mandated by the New York City Administrative Code. The solicitation was posted on March 14, 2025, and is categorized under NAICS code 524292, indicating relevance to insurance claims processing services, with work to be performed in New York State.

General Info

NYC Comptroller seeks vendor for cloud-based OAISIS claims processing modernization, including eClaims portal.

Agency

New York → NYC Office of the Comptroller (OOC)

NAICS

524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Place of Performance

NY, USA

Set-Aside

NONE

Documents

0

No documents available

Documents will appear here when they are available.

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Timeline

PhaseSolicitation
Posted

Solicitation

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Organization & Contact Information

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AgencyNew York → NYC Office of the Comptroller (OOC)
Contacts1 person available
OfficeN/A
Organization / Agency
New York → NYC Office of the Comptroller (OOC)
Office AddressN/A
Contacts
Alison MacLeod
contact@example.gov
+1 (555) 000-0000

Full Description

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The New York City Office of the Comptroller “Comptroller” is releasing this Request for Proposals (RFP) in search of a single qualified service partner to provide system implementation services for the OAISIS Claims Processing Modernization “Project”. The Comptroller has a technology-agnostic approach for the Project and will look to Proposers to propose a suitable cloud-based technology solution that meets the Project goals and satisfies the functional and non-functional requirements listed in the RFP. 
Under the New York City Charter Chapter 5, Section 93(i), the Comptroller’s Office holds the responsibility for resolving claims on behalf of the City of New York (“City”). The act of resolving a claim includes settling or adjusting claims in favor of or against the City. The Omnibus Automated Imaging Storage and Information System (“OAISIS”) currently supports business processes throughout the Comptroller’s Office, focused mainly in the areas of claims, contracts, labor law, and batch document scanning. OAISIS is decades old and needs replacement. For claims, OAISIS supports the process from initial intake and filing through making offers or denying claims, and finally to processing settlement documents and initiating payment of settlements and judgments. The scope of this project is to replace the claims processing functionality currently supported by OAISIS and the eClaims public-facing portal system and to implement a data warehouse to enable reporting, analytics, and archiving of historical data.  
All qualified and interested firms are advised to register to download the Request for Proposal from the Comptroller's website, https://comptroller.nyc.gov/services/for-businesses/doing-business-with-the-comptroller/rfps-solicitations/ which fully describes the scope of work and how to participate. To download the Request for Proposal (RFP), select RFPs and Solicitations then select OAISIS Claims Module Replacement. Questions about the Request for Proposal should be transmitted by email to Alison MacLeod at contact@example.gov.
This Procurement is subject to participation goals for MBE and/or WBE as required by Section 6-129 of the New York City Administrative Code.  

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