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SAP Billing and Disbursement Implementation Services RFP

1. PURPOSE

L.A. Care is issuing this Request for Proposals (“RFP”) to solicit proposals for providing SAP Billing and Disbursement Implementation Services.  

L.A. Care needs to implement and leverage the functionality of SAP Financial Services – Collections and Disbursements (FS-CD) specifically for:

  • Premium billing and receivables for various lines of business.
  • Claims and capitation disbursement management.

The scope is specifically to automate, enhance, and reengineer the current premium billing and receivables processes, which are currently performed by a third-party vendor while claims will continue to be adjudicated in L.A. Care current claims system Trizetto Health Claims Processing Product QNXT. The overall solution is expected to go-live by June 15, 2020.

Claims and Capitation Disbursements: L.A. Care utilizes Trizetto Health Claims Processing Product, QNXT, to process claims and capitation payments. All accounts payable functions and shared risk calculations related to claims payments issued from QNXT are performed manually and outside of L.A. Care’s financial system Microsoft Dynamics (Solomon). Claims disbursements activities are recorded in Solomon at month-end for bank reconciliations and G/L postings. 

L.A. Care plans to implement the FS-CD module and SAP related functions to manage all payments issued from QNXT and to mark all paid claims required for shared risk pools as well as calculating Cap-deducts.
 

2. SOLICITATION, TERMS AND CONDITIONS

The following terms and conditions apply to the submission of proposals.

2.1 Letter of Intent and W-9

The Letter of Intent (“LOI”) and W-9 form are required prior to submission of an RFP response. The LOI and W-9 must be submitted to L.A. Care Health Plan no later than 5:00pm PST on Monday, 3/11/2019. Please submit the signed LOI and W-9 via e-mail to: 

Attention: Procurement Department
Email Address: RFP@lacare.org

 

Letters must contain the following:

  • Name of the vendor, address, and phone number
  • Name, address, phone and fax number, and e-mail address of the person responsible/contact for the RFP response
  • Brief description of the qualifications and experience of the vendor.
  • The LOI may be in the form of an email as well as an attached letter.
  • Attach a copy of your Company’s W-9. The W-9 must be signed within the last 12 months.
     

2.2 Proposal timetable. The timetable for this RFP is as follows:

Activity Date

Release of Request For Proposal

3/5/19

Letter of Intent (LOI), W-9, and Questions Due

3/11/19

Questions and Answers Released

3/15/19

RFP Proposals Due (No Exceptions)

3/29/19

Semi - Finalist Selections

4/5/19

Semi - Finalist Presentations 4/15/19 - 4/19/19

Vendor(s) Selected

4/26/19


Preparation and submission of a Proposal by interested Bidders will be at no cost or obligation to L.A. Care. L.A. Care reserves the right to terminate its efforts to contract for said services without obligation. Proposals and other materials submitted will become the property of L.A. Care and will not be returned. Your proposal must not be marked proprietary or confidential. Please note that L.A. Care is subject to the California Public Records Act.

2.3 Submission of proposals. Proposals shall be submitted to L.A. Care, as follows. 

An electronic copy shall be submitted to:


A complete version of the RFP is available as a PDF document under Resources.