SW-116287 - USA (New York) - Revenue Integrity, Managed Care Contract Performance and Patient Financial Platform - Deadline July 29,2026

(1) Vendor needs to provide revenue integrity, managed care contract performance and patient financial platform. • The desired solution will support automated, auditable, and operationally usable workflows across multiple hospital revenue‑cycle functions, including:• Patient financial estimates, projections, and financial assistance workflows• Contract based expected reimbursement calculation at the claim and line level• Identification and prioritization of payment variance and underpayments• Patient specific out of pocket estimates using eligibility and pricing inputs• Automated estimate triggers and multi channel delivery• Audit ready reporting comparing estimates to actual reimbursement• Automated financial assistance screening and patient self service workflows• Real time and batch eligibility verification• Denial reason tracking and appeal workflow integration specific to authorization–related denials, with outcomes reporting • Audit–ready documentation of all authorization activity, including request submissions, payer responses, status changes, and user actions• Real–time authorization status verification via payer portal integration, clearinghouse connectivity, and X12 278 transaction standards(2) All the questions must be submitted no later than July 17, 2026. (3) The contract period will be for five years.