Electronic Medical Claims Submission and Management

This contract involves comprehensive electronic medical claims submission and management services focused on Medicare, Medicaid, and VA claims. It encompasses the full cycle of claims processing, including the initial 837 electronic claims submission, rapid error detection, rejection handling within a four-hour timeframe, correction of issues, resubmission of claims, and detailed reporting. The goal is to ensure timely and accurate claims processing to support efficient reimbursement and compliance. The contract is a subcontract opportunity set aside specifically for Indian Small Business Economic Enterprises (ISBEE), reflecting its focus on supporting businesses associated with the Department of Interior and Indian Health Services. It is issued by the Billings Area Indian Health Service under the Department of Health and Human Services, with performance located in Harlem, Montana, under NAICS code 561400. The response deadline is June 26, 2026, indicating a targeted schedule for vendor proposals and eventual contract award.