Request for Information

This is a Request for Information (RFI), this is not a request for competitive pricing or a process for the County to purchase; this request is to ascertain whether the commodity or service  specified below is currently available as an out of the box solution. Vendors that respond to this RFI and meet the minimum criteria below will be invited to participate in a private competitive solicitation. 
Scope of services   Broward County seeks a Vendor to provide an out of the box software product for verification and eligibility of client insurance benefits in Medicare Parts A and B, or third-party sources, and has the ability to process medical claims to the insurers for the Broward Addiction Recovery Division (BARD).  These services will allow BARD to accurately pre-screen and determine the eligibility of applicants for federal and state programs and reduce inaccurate payments.    PROJECT SCOPE   Verification Of Benefits (“VOB”)   Overview: BARD seeks a web-based portal solution to streamline obtaining real-time insurance benefits and claims processing, and to maximize reimbursement to maintain compliance with state Medicaid Provider guidelines and funder requests. BARD envisions a real-time provider portal with the capability to verify insurance eligibility, scrub claims for accuracy, obtain insurance authorizations, and electronic claims processing. The capability to integrate Health Insurance Portability and Accountability Act (HIPAA) compliant transactions with an Electronic Health Records (EHR) system is also ideal to lessen data entry errors and increase efficiency.   Technical Requirements:    Verification of Benefits: Ability to provide real-time detailed verification of benefits and eligibility information in batches.   Clearinghouse to identify errors in real time such as those related to HIPAA compliance, eligibility, National Provider Identifier (NPI), and payer-specific rules before submittal to payer.   Claims Submission: Ability to submit claims in batch or one at a time in standard and HIPAA standard formats and receive real-time notification and line-item, detail-level tracking.   Reporting: The ability to capture outstanding claims, denial trends, changes in reimbursement, and other trends through data reporting and dashboards.   The ability to inquire about claim status and possible claim issues.   Denial Management: Electronic claims status updates to resolve claim denials and resubmissions.   The ability to receive timely remittance advice and reconcile payments with the client’s account for proper invoicing.   Ability to submit requests using online database for case-by-case basis or via batch, large file upload.    DETERMINATION OF INTERESTED VENDORS The intent of this notice is to determine if there are interested and qualified vendors that meet the specifications of this notice.
Any such vendor must submit the following information: 1. The name of the interested party; and 2. A detailed explanation consisting of any or all documentation showing the ability to provide an out of the box solution for the identified goods or services herein. 3. Complete and return with their submittal the Exhibit A, Technical Questionnaire, Verification of Benefits System. 
Regardless of any prior communications with the Purchasing Division, all vendors interested in responding to this notice must submit a response to this posting containing complete responses to all of the information requested above.
Any questions regarding this notice may be obtained through the Purchasing Division during this publication period. 
If after the public notice period, the Purchasing Division determines that there are interested and qualified vendors that meet the specifications of this notice, the Purchasing Division will extend an invitation, only to the vendors who responded to this notice, to participate in a private competitive bid. Broward County will review the responses to this RFI and determine vendors that meet the requirements of the Bid will be invited to the private solicitation. The Low Responsive/Responsible Bidder will then enter into negotiations of a two-party agreement awarded through low bid identified in the solicitation. The using Broward County Agency will provide due diligence to ensure vendors invited to the bid can offer an out of the box solution intended for verification of benefits.
Failure to respond to this notice will serve as disqualification from participating in the bid.
Please read the entire form very carefully before responding to this notice.   This Request for Information (RFI) will remain posted until the due date and time indicated. Vendors should submit response electronically through Periscope S2G with the information requested on the Requirements Checklist. Added on Jul 17, 2024:Closing extended to 7/24/24 at 5PM.