Workers Comp Veteran Affair Complex Claims

The University of Connecticut Health Center is soliciting proposals for a qualified organization to provide specialized revenue cycle services focused on the collection and management of Workers Compensation, Veteran Affairs, and other complex claims. The selected contractor will be responsible for the full account lifecycle, including the follow-up of no-response, denied, and underpaid claims to maximize reimbursement potential. This is a non-exclusive engagement intended for a five-year term starting approximately March 1, 2027. A critical requirement for the provider is the ability to integrate with Epic and a proven track record of at least five years of experience providing these specific services to similar clients. Subcontracting and offshoring are strictly prohibited. The award will be granted to a single supplier based on a numerical scoring system that evaluates organizational capability, references, the proposer's understanding of the scope of work, and their acceptance of the standard contract language. Proposers must submit a comprehensive package including specific compliance forms, such as CHRO and SEEC certifications, and a detailed scope and response spreadsheet. The contract includes strict adherence to state Workers Compensation regulations, cybersecurity standards, and federal laws including the False Claims Act. Performance will be monitored through specific KPIs, and UConn Health maintains the right to inspect services and request the reassignment of personnel to ensure professional and workmanlike standards are met.