RFP - FPS - Medical Bill Review and Payment

The City of Minneapolis seeks a qualified provider to perform comprehensive medical‑bill review and provider‑payment services for its self‑insured Workers’ Compensation program covering roughly 4,000 employees. The contractor will be responsible for adjudicating claims, processing payments, handling provider disputes, and supporting the City’s reporting needs, all under a multi‑year contract. • Review and adjudicate medical bills, applying appropriate discounts and ensuring claim eligibility. • Process and disburse payments to health‑care providers, manage mailroom/paper intake, and handle disputes and appeals. • Provide ad‑hoc reporting and data access, integrate with City’s existing claim systems (handled by City IT), and comply with Minnesota living‑wage, equal‑opportunity, and data‑privacy regulations. • Offer flexible fee structures (per‑bill, percentage of cost‑savings, or hybrid) and submit a three‑year cost breakdown. • Contract term up to five years (three‑year base with two‑year optional extension).