Title
Insurance Eligibility and Electronic Claims Processing Service Contract - RFA 24-0013 - Request for Award (Ordinance S-50607)
Description
Request to authorize the City Manager, or his designee, to enter into a contract with Zoll Data Systems, Inc. to provide insurance eligibility and electronic claims for the Fire Department. Further request to authorize the City Controller to disburse all funds related to this item. The total value of the contract will not exceed $1,354,050.
Report
Summary
This contract will provide billing solutions for insurance eligibility and electronic claims for the Fire Department's Emergency Transportation Services (ETS). Services provided by Zoll Data Systems, Inc. will allow ETS to verify insurance eligibility and have the ability for electronic claims submissions. The functionality of the services will allow ETS to reduce the time it takes to verify insurance eligibility and provide electronic claims to insurance providers that require electronic claims forms.
This item has been reviewed and approved by the Information Technology Services Department.
Procurement Information
In accordance with Administrative Regulation 3.10, standard competition was waived as a result of an approved Determination Memo based on the following reasons: Special Circumstances Without Competition. Zoll Data Systems, Inc., is the only vendor that integrates with the ETS accounts receivable software and provides both insurance eligibility and electronic claims. A Request for Proposal was issued for the same services and was unsuccessful as no offers were received.
Contract Term
The contract will begin on or about Feb. 21, 2024, for a five-year term with no options to extend.
Financial Impact
The aggregate contract value will not exceed $1,354,050 for the five-year aggregate term. Funding is available in the Fire Department's budget.
Department
Responsible Department
This item is submitted by Assistant City Manager Lori Bays and the Fire Department.