ICE Medical Claims

The Department of Homeland Security’s Detention Compliance and Removals office is conducting market research through a Request for Information to identify vendors capable of delivering a comprehensive medical claims processing system to support ICE operations. The system must handle adjudication of approximately 300,000 annual medical and dental claims, Accept both electronic and paper submissions, and apply Medicare reimbursement rates for medical services and 90% usual and customary rates for dental care, including a banking process for direct provider payments. It must also enforce program integrity through real-time detection of duplicate, fraudulent, wasteful, or abusive claims, manage overpayments and bills of collection, and support a full provider network including credentialing, enrollment, and maintenance. Additional requirements include a provider portal, procurement capabilities for durable medical equipment and non-emergent medical transportation, and operational support services such as a call center, mail room, and enrollment functions. Interoperability with Electronic Health Records is required, along with compliance with HL7 and FEDRAMP standards, and the system must include reporting or dashboard functionality for real-time data sharing. This solicitation is classified as a sources-sought RFI under NAICS code 518210 for computing infrastructure and data processing services, with no intent to award a contract based on responses. Vendors are not expected to submit pricing, CLIN structures, or formal proposals, and the government explicitly states it will not accept unsolicited quotes or reimburse any costs incurred in response. Submissions must be received by July 15, 2026, at 5:00 p.m. CST via email to Genna Braden and must not exceed twenty pages in Microsoft Word or PDF format using 11-point Times New Roman font. Respondents are required to include a cover letter with their SAM registration status, Unique Entity Identifier, socio-economic status information, and contact details for both contracting and technical points of contact. Only unclassified information may be submitted, and any proprietary data must be clearly marked. Questions must be submitted by June 24, 2026, also via email, and verbal inquiries are not permitted. Participation in this RFI is voluntary and does not affect eligibility for future solicitations.