Medical Encoder Tool

The State of Utah, Department of Health and Human Services, is seeking a medical encoder tool to support the determination of code coverage and application of consistent coverage policies. The contract will be for a period of 5 years, and the vendor will be required to provide an encoder solution that meets the State's requirements. The evaluation criteria for the proposal include the vendor's experience, technical capabilities, and pricing. The contract will be awarded to the vendor that provides the best value to the State. • The medical encoder tool must be able to determine code coverage accurately and apply consistent coverage policies. • The tool must be web-based, searchable, and updated quarterly. • The vendor must provide a reference tool, database, and supplemental customized files to support provider-administered drugs. • The vendor must have experience in providing medical encoder tools to similar organizations. • The vendor's technical capabilities and pricing will be evaluated as part of the proposal.