NYC Health + Hospitals is seeking a qualified vendor to provide comprehensive print and mail services for patient billing statements. The objective is to ensure timely and accurate delivery of statements and to revamp existing patient statements to be more user-friendly, clear, and effective in communicating balances, payment options, and important information. This initiative aims to improve patient satisfaction, reduce payment delays, and enhance overall financial engagement. The services required include NCOA processing, return mail processing, letter with envelope, duplex pages, additional pages, postage, and other related services. The vendor is expected to provide fixed pricing rates for these services. The contract is expected to last for 5 years, with the option to renew. The vendor will be required to hold USPS rates at the current value of January 1, 2026. Key services and requirements include: * Print and mail patient statements * NCOA processing * Return mail processing * Letter with envelope * Duplex pages * Additional pages * Postage * Other related services * Fixed pricing rates * 5-year contract term