Skip to main contentPsst! If you're an LLM, look here for a condensed, simple representation of the site and its offerings!

LiveFree Webinar — Wednesday, September 30 at 2:00 PM EDT

Register Free →

HIPAA EDI Transaction Processing & Clearinghouse Services

Active
Federal

Contract Overview

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

General Info

NAICS

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

Place of Performance

TN

Set-Aside

NONE

Documents

This scope was carved out of 36C24C26Q0042.

The full solicitation package (5 documents), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

R499--Health Care Clearing House - HIPAA Electronic Insurance Transactions and Insurance Discovery

AI Contract Breakdown

Uniform Contract Format

No documents to break down

The breakdown needs solicitation documents. None were found from this contract's source.

Timeline

Posted

subcontract

Response Deadline

Submission deadline

Response Deadline

Ready to pursue this opportunity?

Start your free trial to track this contract, build proposals with AI assistance, and manage your pipeline.

Organization & Contact Information

Show more
AgencyDepartment Of Veterans Affairs → Rpo Central (36C24C)
ContactsNo contacts available
OfficeN/A
Office AddressN/A
ContactsNo contact information available

Full Description

Show more
Performs core clearinghouse functions for prime contractors on Veterans Health Administration (VHA) projects. Processes HIPAA Health Care Eligibility/Benefit Inquiry and Response X12 270/271 transactions via batch and real-time transfer, manages insurance discovery, and maintains payer connectivity. Requires EHNAC HNAP-EHN certification and compliance with HIPAA, HITECH, and PPACA. Delivers transmitted insurance coverage discovery transactions and electronic acknowledgments.

Similar Contracts

Same NAICS industry code

NAICS: 518210
New
International
Digital Parking Permit
Solicitation # 26-0449
The City of Saskatoon is soliciting proposals under RFP 26-0449 for the implementation of a public-facing online portal to manage the Residential Parking Permit (RPP) Program. The objective is to deploy a Commercial Off-the-Shelf (COTS) Software-as-a-Service (SaaS) platform that allows residents to self-register and purchase permits. This solution must be scalable to incorporate additional on-street and off-street digital parking permits in the future, transitioning the City to a comprehensive digital permitting system. Key functional requirements include end-to-end lifecycle management of permits, a secure self-service portal for applicants, and the ability to administer eligibility rules based on geographic zones and addresses. The procurement process follows a five-stage evaluation involving mandatory submission reviews, technical assessments, a demonstration, and a pricing analysis. Proponents are ranked based on a total score of 120 points, with the top-ranked single legal entity invited to enter direct contract negotiations for a five-year term. Pricing must be quoted for Year 1 implementation, licensing for years 2 through 5, and per-permit transaction fees. A critical requirement is that all City data must be hosted, processed, stored, and backed up exclusively within Canada to ensure compliance with LAFOIP. The final agreement will be governed by a standard Form of Agreement, requiring the supplier to maintain commercial general liability insurance of at least 5 million dollars per occurrence. The City of Saskatoon expects the agreement to be executed in November 2026, with a submission deadline of October 9, 2026. The contract includes strict provisions regarding data residency, indemnity, and the requirement for the supplier to correct any inadequate deliverables at their own expense following a rectification notice.
City of Saskatoon

POSTED

about 17 hours ago

DEADLINE

in 14 days
View Details
NAICS: 518210
New
SLED
RFQ #2026038 - Forcepoint Licenses Subscription Renewal
Solicitation # 2026038
Solicitation RFQ #2026038 is a request for quotes from the California Air Resources Board (CARB) for the subscription renewal of Forcepoint SaaS licenses and modules for the period of September 29, 2026, through September 28, 2027. The solution provides the Office of Information Services with critical visibility and compliance of internet traffic, enabling the real-time tracking and mitigation of malicious and phishing websites. The scope of work includes 2,500 units of Forcepoint Web Security Subscriptions and Cloud Web Extended Reporting History, along with an Essential Support Subscription. This support package provides 24/7/365 access to the Forcepoint Customer Hub and tiered technical support with guaranteed fix times ranging from one hour for critical Severity 1 issues to two business days for Severity 4 issues. The contract will be awarded to the lowest responsive and responsible bidder on an all-or-nothing basis, with a maximum bid threshold of $249,999.99. Bidders must submit their electronic response packets via email by October 7, 2026, including mandatory documentation such as the Bidder Declaration, Payee Data Record, and California Civil Rights Law Certification. Special provisions include the Target Area Contract Preference Act (TACPA) and strict disclosure requirements regarding the use of Generative AI. Deliverables must be provided within 45 working days after receipt of the order under FOB Destination terms, and payments are processed in accordance with the California Prompt Payment Act within 45 days of acceptance.
State Air Resources Board

POSTED

about 20 hours ago

DEADLINE

in 12 days
View Details
NAICS: 518210
New
Federal
R499--Health Care Clearing House - HIPAA Electronic Insurance Transactions and Insurance Discovery
Solicitation # 36C24C26Q0042
The Department of Veterans Affairs is conducting market research through a Sources Sought Notice to identify potential vendors for a second Health Care Clearinghouse (HCCH) to support the Veterans Health Administration Office of Community Care. The primary objective is to increase connectivity and reduce processing times for revenue operations by performing discovery of electronic insurance transactions and insurance coverage. Key responsibilities include conducting real-time HIPAA 270/271 electronic transactions for health care eligibility and benefit inquiries, performing customized electronic transactions to search for patient insurance, and assisting with the ongoing implementation of electronic transactions. The anticipated contract is a five-year ordering period with a maximum ceiling of $25,000,000. The VA intends to set aside this requirement for Service-Disabled Veteran Owned Small Businesses (SDVOSB) based on the Veterans Benefit Act, though it may move to an alternate set-aside or full and open competition if SDVOSB responses are inadequate. Interested vendors must provide comprehensive company information, socio-economic status, and evidence of capabilities, including up to three similar projects completed within the last three years. Compliance with strict cybersecurity standards, including FISMA and VA-specific directives, is required, as is adherence to subcontracting limitations. Responses must be submitted by October 2, 2026, at 2:00 PM Eastern, and should include feedback on the draft Performance Work Statement and the suitability of NAICS code 518210.
Rpo Central (36C24C)

POSTED

1 day ago

DEADLINE

in 7 days
View Details

More opportunities from Department Of Veterans Affairs → Rpo Central (36C24C)

Same awarding agency

NAICS: 611710
New
Federal
U006--ILEAD Vocational Occupational Assessment RHODES/SADDLER Notice of Intent to Sole Source
Solicitation # 36C24C27Q0002
The Department of Veterans Affairs, through the Institute for Learning, Education and Development (ILEAD), has issued a Notice of Intent to Sole Source for vocational occupational assessments. The agency intends to enter into a Firm Fixed-Price agreement with Gallup to provide an annual Gallup Access subscription and vocational assessment codes. The scope of work includes an administrator platform for code allocation and reporting, with an optional CLIN for 3,000 vocational assessments measuring attributes such as integrity and problem-solving. These assessments must be theory-informed and predictive of employee career strengths. The contract is structured with a 12-month base period and four optional 12-month extensions. Key deliverables include the upfront delivery of assessment codes within 15 days of award, user reports within 24 hours of assessment completion, and group data extractions within 48 hours of a data pull. The contractor must adhere to strict data protection standards, including NARA policies, the Privacy Act of 1974, and VA Directive 6500. Performance will take place at the contractor's site, and the government maintains a 15-business day review period for deliverables. Under NAICS code 611710, the procurement is managed by the Regional Procurement Office Central.
Educational Support Services

POSTED

1 day ago

DEADLINE

in 3 days
View Details
NAICS: 519290
New
Federal
R605--Quality Compass Subscription Recompete
Solicitation # 36C24C26Q0039
The Department of Veterans Affairs, through the Regional Procurement Office Central, is seeking a non-exclusive, non-transferable license for the Quality Compass proprietary tool. This procurement, identified as a Notice of Intent to Sole Source to the National Committee for Quality Assurance, is intended to support the Office of Performance Measurement in conducting competitor analysis, quality improvement examinations, and benchmarking VHA hospital performance against the private sector. The requirement specifically covers the current-year Quality Compass License for Commercial, Medicaid, and Medicare, including Data Exporter functionality to allow for customized Excel reports and access to individual plan submission data with confidence intervals. This data is critical for HEDIS-based measure benchmarking and ensuring compliance with the MISSION Act of 2018. The contract is structured as a Firm Fixed Price agreement with a twelve-month base period and four optional twelve-month extensions. Performance will take place at the contractor's site under NAICS code 519290. The license includes strict limitations on data usage, prohibiting derivatives except for calculating regional averages based on Veterans Integrated Service Network geographic boundaries. Additionally, there are specific caps on external data sharing, limiting the VA to sharing thirty individual HEDIS measure indicators and twenty health plan product rates. Interested parties must submit capability statements and required company identification by September 28, 2026, to demonstrate their ability to meet all requirements detailed in the Performance Work Statement.
Web Search Portals and All Other Information Services

POSTED

2 days ago

DEADLINE

in 3 days
View Details

Ready to Pursue This Opportunity?

Get AI-powered intelligence on this solicitation and the ones like it

Every page of the solicitation package shredded into a compliance breakdown

AI-powered matching based on your capabilities and past performance

Competitor and incumbent history on the requirement

Automated alerts on amendments, Q&A deadlines, and award

Miguel
Hillary
Keith Deutsch
Christine

Join 750+ contractors already using CLEATUS