Description
UW Medicine is seeking vendor expertise to assume billing, claim submission, follow‑up and appeal functions for Motor Vehicle Accident (MVA) and Workers’ Compensation (WC) claims across its major hospitals (Harborview and UW Medical Center). The solicitation is an RFI, intended to collect market data on capabilities, pricing structures, implementation approaches, and risk‑mitigation strategies. The agency will retain litigation and lien‑filing responsibilities, and it is evaluating both on‑shore and hybrid delivery models with a preference for on‑shore providers that can integrate with the Epic EMR.
• Scope: Hospital‑billing (UB‑04) for MVA and WC claims, including claim submission, denial management, appeals, reporting, and potential aged‑AR clean‑up.
• Desired capabilities: Experience with Washington State MVA/WC payers, Epic integration, staffing model, productivity metrics, AI usage, and contingency‑based pricing.
• Timeline: Questions due 6/26/2026; answers posted 7/6/2026; final RFI response due 7/10/2026. No award date or contract term disclosed.
• Data provided: $41 M outstanding WC AR, average monthly charges ≈ $11 M, current internal staffing 3‑4 FTEs, coverage identification rate 95.5 %.
• Submission: PDF response (Attachment A) plus Excel questionnaire (Attachment C) emailed to the RFI Coordinator.