Medical Bill Review and Provider Payment Services

The City of Minneapolis is seeking proposals for medical bill review and provider payment services for its self-insured, self-administered Workers' Compensation program.

City of Minneapolis > Finance and Property Services > Risk Management & Claims Division


General
Open
Sep 08, 2026 04:15 PM
3 years base + 2 × 1 year options
Request for Proposal (RFP)
Local
Ask AI about this solicitation
Contact
andrew.lathrop@minneapolismn.gov
Submission Instructions
Description

The City of Minneapolis is seeking a consultant to provide medical bill handling, review, and payment services for its self-insured, self-administered Workers' Compensation program, which covers approximately 4,000 employees and processes more than $3 million in related medical services annually. The selected consultant will review healthcare invoices, apply provider-network discounts, pay providers, process bill denials, and support preferred physician, pharmacy, and durable medical equipment networks. The consultant must be able to interface with the City's RiskMaster (RMX) claims database and support information exchange through the City's ECMS/EDMS systems or other proposed methods. Required services also include monthly reporting on bills reviewed, bill types, payment reductions, network services, and administrative costs; issue escalation and communication with City staff; and up to two annual meetings with the City's Director of Risk Management. Proposals must address the consultant's service processes, network arrangements, systems integration, communications, escalation procedures, assigned personnel, reporting capabilities, experience, references, personnel, fees, and financial information.

Classification Codes
NAICS524298All Other Insurance Related Activities
PSCQ601Medical Coding and Auditing
Smart Codes
medical bill reviewprovider payment servicesworkers compensation administration
Specifications
Service Only
Timeline
Sep 8, 2026-RFP Release
Sep 21, 2026 09:00 PM-Questions Due
Sep 28, 2026 09:00 PM-Responses to Questions Posted
Oct 1, 2026-Estimated Consultant Selection
Oct 06, 2026 07:00 PM-Proposal Due
Jan 1, 2027-Estimated Services Start Date
Dec 31, 2031-Estimated Services End Date
Requirements
Required
  • Workers' Compensation
  • Employers Liability — $100,000.00
  • Commercial General Liability — $2,000,000.00
  • Commercial Automobile Liability — $1,000,000.00
  • Professional Liability or Errors & Omissions — $2,000,000.00
  • Cyber Liability — $1,000,000.00
Scored
No
Documents
TitleDate Posted
rfp09082611Sep 08, 2026 04:15 PM
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