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TRIWEST HEALTHCARE ALLIANCE CORP

UEI: J7M9HPTGJ1S9CAGE: 07TQ3

TRIWEST HEALTHCARE ALLIANCE CORP is a federal contractor, registered under UEI J7M9HPTGJ1S9 and CAGE code 07TQ3. It has been awarded $101,542,920,000 across 312 federal contracts. Primary work spans Direct Health and Medical Insurance Carriers, Offices of Physicians (except Mental Health Specialists), and Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Top awarding agencies include Department Of Veterans Affairs and Department Of Defense.

Contact Information

Registration and classification details

Registration

UEI Code

J7M9HPTGJ1S9

CAGE Code

07TQ3

Entity Structure

Corporate Entity (Not Tax Exempt)

Established

N/A

Business Classifications

2X

NAICS Codes

524114Direct Health and Medical Insurance Carriers(Primary)
524292Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
524298All Other Insurance Related Activities
541611Administrative Management and General Management Consulting Services
621111Offices of Physicians (except Mental Health Specialists)
+1 more

Federal Contracting Overview

Award totals, agency breakdown, NAICS distribution, and geographic footprint.

AI Capability Profile

TriWest Healthcare Alliance Corp specializes in the administration and delivery of comprehensive health benefits programs for federal beneficiaries, with deep expertise in direct health insurance carrier operations and pharmacy benefit management. The company manages end-to-end healthcare claims pro...

TriWest Healthcare Alliance Corp specializes in the administration and delivery of comprehensive health benefits programs for federal beneficiaries, with deep expertise in direct health insurance carrier operations and pharmacy benefit management. The company manages end-to-end healthcare claims processing, provider network coordination, utilization review, and pharmacy claims adjudication for large-scale government programs. Its technical capabilities include robust third-party administration systems, real-time claims analytics, member enrollment and eligibility verification, and compliance with federal healthcare regulations such as VA-specific reporting standards. A key differentiator is its ability to integrate complex clinical and financial data streams into operational workflows that support timely, accurate, and auditable reporting for federal oversight. The contractor maintains a long-standing, high-frequency relationship with the Department of Veterans Affairs, consistently delivering monthly reporting and operational support for both health plan administration and pharmacy benefit services. While it has one recorded engagement with the Department of Defense, its primary focus remains on VA programs, where it provides mission-critical infrastructure for beneficiary care coordination and benefits fulfillment under the VA’s healthcare delivery model. Its industry focus centers on NAICS 524114 and 524292, reflecting its role as a direct health insurance carrier and pharmacy benefits administrator. These classifications indicate a specialized market position in managing risk-based, government-funded health plans with stringent compliance and reporting requirements. The contractor operates at the intersection of healthcare delivery and financial administration, serving as a trusted intermediary between federal agencies and provider networks. As a 2L entity headquartered in Phoenix, Arizona, TriWest Healthcare Alliance Corp is structured as a mid-to-large-scale contractor with established operational scale and federal contract execution capacity. Though it holds no formal government certifications, its sustained performance with the VA underscores its credibility and reliability in the federal healthcare contracting space.

Key Performance Metrics

Awards Count

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Active

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Past period of performance

Total Awards

All time

Contracts

Prime · all time

Subcontracts

Sub · all time

Grants

Prime · all time

Subgrants

Sub · all time

Award Analytics & Distribution

Awards by Agency
Department Of Veterans Affairs$67.3B66.3%
Department Of Defense$34.2B33.7%
Awards by NAICS
524114 - Direct Health and Medical Insurance Carriers$78.8B77.7%
621111 - Offices of Physicians (except Mental Health Specialists)$21.3B20.9%
524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds$1.4B1.4%
Others - Other NAICS codes (11 codes, <0.5% each)$66.0M0.1%
Awards by Agency Over Time
Awards by Place of Performance

Open opportunities in TRIWEST HEALTHCARE ALLIANCE CORP's top NAICS codes and agencies

NAICS: 621111
New
Federal
Kayenta Health Center: Non-Personal Service Contract - Pediatric Physician Services (Amendment 02)
Solicitation # 75H71025Q00030
This sources sought notice is issued by the Indian Health Service (IHS) Navajo Area Indian Health Service, under the Department of Health and Human Services, to identify capable sources for providing pediatrician services at the Kayenta Health Center in Kayenta, Arizona. The contract is a non-personal service contract with an anticipated performance period from January 1, 2025, to June 30, 2025, with an option to extend through the second half of the year. The primary NAICS code for this procurement is 561320, which pertains to Temporary Help Services. The government is seeking responses from Indian economic enterprises, small businesses, or other socio-economic entities, with a preference under the Buy Indian Act, to determine market capacity and inform future acquisition strategies, including potential set-asides. Interested firms must submit a capabilities package by November 18, 2024, demonstrating relevant experience, compliance with socio-economic programs, and their intent to compete for the upcoming solicitation. The notice emphasizes that this is solely for market research and does not constitute a solicitation or request for quotes. Respondents are required to provide documentation confirming their eligibility under the Buy Indian Act, including a self-certification form, and details of recent relevant experience, including contract information, scope of work, and customer contacts. The point of contact for submissions is Amber Whitehair, a Contract Specialist. The place of performance is at the Kayenta Health Center, and the government will evaluate market responses to determine the appropriate acquisition strategy, which may include set-asides or unrestricted procurement. This process aims to ensure the government can identify qualified sources capable of delivering pediatrician services in accordance with federal requirements and preferences.
Navajo Area Indian Health Svc

POSTED

1 day ago

DEADLINE

in 2 days
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NAICS: 621111
New
Federal
Warm Springs Service Unit Nurse Advice Line
Solicitation # 75H71326Q00072
This contract is a combined synopsis and solicitation issued by the Indian Health Service under the Department of Health and Human Services to establish a non-personal service contract for a 24/7 toll-free Nurse Advice and Medical Library line. The service is dedicated to American Indian and Alaska Native patients and their immediate families who are active beneficiaries of the Warm Springs Health and Wellness Center in Warm Springs, Oregon. The contractor must provide U.S. state-licensed Registered Nurses who utilize evidence-based triage protocols and specialized software to provide medical guidance and health education. Key requirements include providing encounter forms to facility staff within 24 hours of a call and maintaining strict HIPAA compliance regarding the protection of patient health information. The period of performance is for one year from the date of award, with a payment structure based on a fixed monthly amount tied to the active user population. This is an Indian Small Business Economic Enterprise set-aside under NAICS code 621111. Evaluation for the award will be based on best value, considering demonstrated prior experience in providing uninterrupted nurse advice services, past performance in comparable healthcare call center operations, and total evaluated price. The contractor is required to maintain medical liability insurance of 1,000,000 dollars per occurrence and must demonstrate cultural sensitivity when interacting with the beneficiary population.
Indian Health Service

POSTED

3 days ago

DEADLINE

in 3 days
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NAICS: 621111
New
Federal
OCONUS Medical Q-Coded Services
Solicitation # HT941026R2000
The contract pertains to OCONUS Medical Q-Coded Services under solicitation HT941026R2000, administered by the Defense Health Agency Hcd West on behalf of the Department of Defense. It is structured as an Indefinite Delivery/Indefinite Quantity (IDIQ) vehicle designed to procure professional medical and medical support services across the Indo-Pacific Command region, with primary focus on Japan and Korea, including specific military treatment facilities such as U.S. Naval Hospital Okinawa and associated BMC sites. The scope encompasses five distinct service lines: direct patient care, mental health, nursing, medical support, and dental services, delivered by credentialed and non-credentialed personnel under standardized labor categories outlined in Technical Exhibit 4 and governed by detailed qualification standards in Technical Exhibit 5 for each role. The contract enforces strict compliance with federal regulations including HIPAA and the Privacy Act of 1974, mandates the use of a Vendor Management System and Enterprise Resource Planning system for contractor accountability, and requires all personnel to meet U.S. work authorization requirements while adhering to installation access protocols and Government-issued identification policies. Performance metrics are tightly defined, including minimum Acceptable Quality Levels such as a 90% overall fill percentage, 92% package acceptance rate, and limits on data errors, with evaluations based on timeliness and accuracy of deliverables on a monthly cycle. The solicitation is set aside for 8(a) small businesses under NAICS code 621111 and is issued as a combined solicitation with a response deadline of April 19, 2027. The Government retains the authority to modify performance locations and markets throughout the contract's life, and contractors must maintain a minimum $2 million line of credit. All contract workers are expected to commence service within 90 days of task order award, with exceptions for hard-to-fill positions. Contractors are required to designate both primary and alternate points of contact, manage a structured team for compliance reporting, and submit quarterly reports on credentialing effectiveness. Special requirements include the maintenance of emergency and privacy policies, adherence to national provider identifier and DEA registration standards, compliance with Countering Trafficking in Persons regulations, and reimbursement for lost government property. While the overall contract value and pricing structure are not specified, the procurement is performance-based and follows a firm fixed-price model. The amendment noted corrects access-related issues to the solicitation materials without altering the underlying terms, and all communications and submissions
Defense Health Agency Hcd West

POSTED

3 days ago

DEADLINE

in 8 months
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