RFP for Laboratory and Collection Services

The Oregon Health Authority is seeking proposals from qualified vendors to provide laboratory billing and collection services. The services will include laboratory billing to Medicaid, Medicare, Oregon Coordinated Care Organizations (CCOs), third-party payers, and submitters. The contract is expected to include set-up, installation, training, and maintenance services. The key responsibilities of the vendor will include claim submission, claim rejection management, explanation of benefit (EOB) management, and related services as described in the RFP. • Laboratory billing and claims management services • Claim submission and rejection management • Explanation of benefit (EOB) management • Related services as described in the RFP • Set-up, installation, training, and maintenance services • Electronic claim submission and payment processing