This tender has closed on 7 July 2026.
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The Road Accident Fund seeks a qualified service provider for a cloud-based integrated medical management solution. The project entails delivery, configuration, implementation, maintenance, and support over five years.
The Road Accident Fund (RAF) is inviting bids for the delivery and implementation of a comprehensive cloud-based integrated medical management solution. This solution aims to enhance the efficiency of medical claims processing and management for individuals injured in road accidents. Key requirements include the development of a clinical rules engine, pre-authorization processes, hospital benefit management, and case management functionalities. The successful bidder will also be responsible for ensuring seamless integration with existing RAF systems and third-party platforms, thus facilitating improved clinical outcomes and cost savings.
The scope of work includes not only the initial implementation but also ongoing maintenance and support for a period of five years. The solution should automate many manual processes currently in place, thereby reducing fraud, waste, and abuse while enhancing reporting capabilities. By leveraging advanced technologies, the RAF aims to streamline operations, reduce settlement timelines, and improve overall service delivery to claimants. This tender is suitable for experienced IT service providers with a proven track record in delivering similar solutions in the healthcare or insurance sectors.
This tender is suitable for IT service providers specializing in healthcare solutions, particularly those with experience in cloud-based systems and medical claims management. Companies with a strong background in integrating complex IT solutions within the healthcare sector are encouraged to apply.
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