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A government agency in California issued “Premium Billing, Eligibility, and Enrollment Platform” (RFP). Solicitation SYS-6487 closed on September 10, 2026. Eligibility: Only for USA Organization. Submissions via Online Portal.
The vendor is required to provide premium billing, eligibility, and enrollment platform for agency covered and to support all related premium billing, enrollment (on and off exchange), eligibility, reconciliation, and member communication functions for the covered state marketplace.
- Tasks and activities
• End-to-end enrollment processing (on and off exchange)
• Eligibility ingestion via 834 files (all transaction types)
• Premium billing operations including invoicing, proration, refunds, billing rules, auto-pay, non-payment workflows, suspension, and termination
• Integration with merchant services, lockbox payments, and payment channels
• Daily cash posting and reconciliation
• Revenue reconciliation across, state subsidy, abortion credit, and member premiums
• Generation of all required covered state notices
• Loading and processing weekly reconciliation files and submitting monthly response files
• Production of go-back files per covered state data integrity process guide
• Daily outbound 834 files for confirmations and updates
• Reporting (membership, financial, operational, aging, fallout)
• System controls for unusual financial changes, job failures, and completeness checks.
Ask any question about the RFP and its amendments. Instantly surface schedules, deliverables, compliance items, evaluation criteria, and budget details with 100% source-backed answers.
Quick answers about deadlines, eligibility and submission for this solicitation.
No. This opportunity (SYS-6487) closed on September 10, 2026. See similar open RFPs below.
A government agency in California. The buyer's contact and submission details are in the solicitation documents.
Only for USA Organization.
Submissions are accepted via Online Portal. Follow the instructions in the solicitation documents.
Contract term: 2 years.
Questions and inquiries must be submitted by August 27, 2026.
Yes. After purchase, with a subscription or during a free trial, the RFPPlanet AI Assistant answers questions sourced from this RFP’s documents, such as requirements, evaluation criteria and key dates.
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