SAM #75H71026Q00217

Web-Based Clearinghouse Claims Management Solution for Indian Health Service Shiprock Service Unit

The Indian Health Service (IHS) Shiprock Service Unit is seeking a web-based Clearinghouse Claims Management solution to automate revenue cycle processes for multiple healthcare facilities, including Northern Navajo Medical Center and Four Corners Regional Health Center. - Government Buyer: - Indian Health Service (IHS), Shiprock Service Unit - Northern Navajo Medical Center - Four Corners Regional Health Center - Products/Services Requested: - Web-based Clearinghouse Claims Management solution - Automated claims submission, remittance and payment management, patient billing, real-time eligibility verification, claims status inquiry, address verification, denial/payment management, and auto posting - Maintenance, support, software upgrades, and compliance with HIPAA, security, privacy, and accessibility standards - Line Items: - Services for a base period of 12 months, with four additional 12-month option periods (total potential duration: 60 months) - No specific part numbers or OEMs are named; quantities are defined by contract periods - Unique/Notable Requirements: - Solution must be HIPAA-compliant and web-based - Must support real-time EDI transactions and interface with existing patient registration and billing systems - Vendor must provide ongoing maintenance, support, and software upgrades - Compliance with Indian Small Business Economic Enterprise (ISBEE) set aside - Targeted at small businesses, including women-owned and service-disabled veteran-owned businesses - OEMs: - No specific OEMs are named; solution must be commercial-off-the-shelf (COTS) or equivalent - Potential Competitors: - Companies specializing in healthcare claims management and revenue cycle automation solutions

Description

This is a combined synopsis/solicitation for commercial products or commercial services prepared in accordance with Part 12. This announcement constitutes the only solicitation. Quotes are being requested and a separate written solicitation will not be issued.

Questions are due August 7, 2026, at 12:00pm MT.

Solicitation no. 75H71026Q00217 is issued as a request for quotation (RFQ) for a web-based, 3rd party Clearinghouse Claims Management solution that will automate components within the revenue cycle process for the Business Office Department at Northern Navajo Medical Center (NNMC). The North American Industry Classification System (NAICS) is 518210 Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services.

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