HIPAA-Compliant EDI Integration and Interoperability Services

The contract requires the design, implementation, and ongoing maintenance of secure electronic data interchange connections that comply with HIPAA regulations, enabling seamless communication between Zuni Comprehensive Health Center’s internal systems and external entities such as clearinghouses, payers, and the Centers for Medicare & Medicaid Services. The work involves ensuring data integrity, confidentiality, and interoperability across all integrated platforms, with a strong emphasis on security protocols and regulatory adherence to protect sensitive health information. The contractor must deliver reliable, scalable, and audit-ready EDI solutions that support efficient claims processing, provider coordination, and reimbursement workflows. This subcontract is set aside exclusively for Indian Small Business Economic Enterprise (ISBEE) entities under the Department of Health and Human Services, specifically aligned with the Albuquerque Area Indian Health Service. The solicitation is tied to NAICS code 541512, indicating it falls under Custom Computer Programming Services, and the place of performance is in Zuni, New Mexico, with a 14-day response window from the posting date. The contract demands specialized expertise in healthcare IT infrastructure, particularly in federal health systems environments, and requires strict compliance with federal standards governing data exchange in Indian Health Service operations.