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Eligibility Data Exchange Services

Active

State & Local

Response Deadline01/14/2027, 08:00:00 AM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

AI Contract Overview

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This subcontract for Eligibility Data Exchange Services supports prime contractors on Washington State Health Care Authority health plan projects. The scope of work focuses on the technical processing of HIPAA 834 eligibility files and other critical data exchanges between the state and health plans. To ensure accuracy and compliance, the provider must utilize EDI gateways and HIPAA 834 file processors while strictly adhering to HIPAA EDI standards to deliver validated eligibility rosters and comprehensive data exchange logs. The project falls under NAICS code 518210 and will be performed across multiple counties. Interested parties should note that the solicitation was posted on October 12, 2026, with a response deadline of January 14, 2027.

General Info

Subcontract for HIPAA 834 eligibility data exchange services for Washington State health plans.

Agency

Washington → Health Care Authority

NAICS

518210 - Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services

Place of Performance

Multiple Counties, WA, USA

Set-Aside

NONE

Documents

This scope was carved out of 2025HCA5.

The full solicitation package (18 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Fully-Insured Medical Plans

AI Contract Breakdown

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Timeline

PostedOct 12

subcontract

Response DeadlineJan 14

Submission deadline

Response Deadline

01/14/2027, 08:00:00 AM UTCin 3 months

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Organization & Contact Information

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AgencyWashington → Health Care Authority

ContactsNo contacts available

OfficeN/A

Organization / AgencyWashington → Health Care Authority

Office AddressN/A

ContactsNo contact information available

Full Description

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Performs technical processing of eligibility files for prime contractors on Washington State Health Care Authority (HCA) health plan projects. Processes HIPAA 834 eligibility files and other data exchanges between the state and the health plan. Utilizes EDI gateways and HIPAA 834 file processors. Adheres to HIPAA EDI standards. Delivers validated eligibility rosters and data exchange logs.

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