Real-time Eligibility (RTE) Verification Solution

The contract with UW Medicine aims to secure a comprehensive Real-time Eligibility (RTE) Verification solution capable of supporting high-volume, multi-payer insurance eligibility checks across UW Medicine’s extensive health system in Washington. The initial contract spans from May 2025 through May 2028, with options to extend up to a total of nine years, contingent upon mutual agreement. Bidders are required to demonstrate compliance with detailed technical, functional, and security standards, including adherence to UW Medicine’s IT security, accessibility, and data privacy policies, notably HIPAA. The procurement emphasizes environmental sustainability, requiring bidders to complete a detailed questionnaire on green practices, and mandates strict compliance with federal and state laws, including small business and MWBE participation goals, which are encouraged but not mandatory for award. Proposal submissions are due by September 17, 2025, at 3 p.m. PT, and must be submitted via email in specified formats: signed certification forms as PDFs, detailed pricing in Excel, and responses to technical and sustainability requirements also in Excel. The evaluation process is multi-factor, weighted, and based on a trade-off approach prioritizing minimum requirements, technical capabilities, implementation plan, and cost. The contract incorporates numerous UW-specific exhibits and riders, including Business Associate Agreements, IT security terms, accessibility standards, and environmental policies, with the University reserving rights for audits, quality assurance, and corrective actions throughout the contract term. The agreement emphasizes collaboration, compliance, and transparency, with clear procedures for contract management, invoicing, and performance oversight, ensuring the solution aligns with UW Medicine’s mission to advance healthcare quality and efficiency.