Medical Claim and Billing Clearinghouse Services

The City of Tucson is seeking to establish a contract with a qualified clearinghouse service provider to manage medical claims for the Tucson Fire Department’s EMS billing program. The selected vendor will be responsible for electronically transmitting medical claims, verifying their accuracy, resolving discrepancies, monitoring claim rejections, and providing comprehensive reporting functions. The goal is to enhance claims accuracy, ensure timely reimbursements, and maintain compatibility with the existing billing system used by TFD. The procurement process is open, with a posting date of August 27, 2025, and a response deadline of September 17, 2025. The contract is estimated to be valued between $500,000 and $2,000,000, emphasizing the importance of a reliable and efficient claims management solution. The solicitation is organized under the NAICS code 621111, which pertains to outpatient care centers, and is managed by the Tucson Fire Department within the state of Arizona. A primary point of contact for inquiries is Salvador Servin III, reachable via email or phone. The procurement process includes an offer and acceptance document, which formalizes the agreement once the contractor’s proposal is accepted by the city, binding both parties to the terms outlined in the solicitation. This comprehensive approach aims to ensure the city secures a capable vendor that can support the EMS billing operations effectively, improving overall claims processing and reimbursement workflows.