SAM #75H71026Q00109

Navajo Area Indian Health Service Solicitation for Web-Based Revenue Claims Management SaaS and Support Services

The Navajo Area Indian Health Service is seeking secure, web-based SaaS solutions and related services for electronic claims processing and revenue cycle management at the Crownpoint Healthcare Facility. - Government Buyer: - Indian Health Service, Navajo Area - Crownpoint Healthcare Facility, NM - Products and Services Requested: - Secure web-based SaaS platform for electronic claims submission and real-time eligibility verification - Must support Medicare, Medicaid, Private Insurance, and Veterans Administration billing workflows - Compliance with HIPAA 837 transaction standards and Section 508 accessibility - No local installation required; secure web portal access - Revenue Claims Management Cycle Services including: - Claims Management Pro (12 months) - Claims Status (12 months) - ATT Attachments (12 months) - PC Paper Claims (12 months) - Eligibility Verification Starter & Standard (12 months each) - Medicare Beneficiary Identifier (12 months) - Direct Data Entry Verification (12 months) - RCM Intelligence Pro (12 months) - Insurance Discovery (12 months) - Demographic Verification (12 months) - Maintenance and support services for software, including technical support, scheduled maintenance, and customer service - Unique/Notable Requirements: - Indian Small Business Economic Enterprise (ISBEE) set aside - Software must be SaaS, web-based, and accessible without local installation - Must comply with HIPAA and Section 508 accessibility standards - Secure access and real-time eligibility verification - Training and customer support required - No specific OEMs or vendors are named in the solicitation; all requirements reference industry-standard solutions for healthcare claims management.

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