Medical Claims Auditing Program

The Inland Empire Health Plan (IEHP) published a Request for Proposal (RFP) for a Medical Claims Auditing Program. The primary goals of the program are to provide tools for IEHP's internal claim audit functions, allowing for customization of audit sample selection, monitoring of audit inventory and workflow, and measurement of individual auditor performance. The RFP was canceled pursuant to the provisions of the RFP, as stated in the notification to bidders. • The RFP was published on May 23, 2016, and the bid submission date was July 5, 2016. • The RFP included several attachments, such as the RFP document, vendor security assessment tool, non-collusion declaration, ownership information, and bidder terms and conditions. • The IEHP is a health plan that provides services to its members, and the medical claims auditing program is intended to support its internal claim audit functions.