The South Dakota Department of Social Services (Department) takes measures to ensure that it is the payer of last resource for applicable program benefits and seeks reimbursement when the Department has issued payment when a liable third party exists. This Request for Proposal (RFP) is to obtain the services of a vendor to operate in accordance with this RFP’s scope of work to identify third parties who are responsible for payment of the health, medical care, and other benefits available under the Department’s programs. The Department is also seeking the services of a vendor to prepare HIPAA compliant claims for submission to third parties from information provided by the Department. Preference will be given to vendors who will provide electronic claims submissions to insurers.
