Medical Claims Reporting and Analytics

The contract titled Medical Claims Reporting and Analytics requires the timely generation of monthly reports covering claims submissions, eligibility checks, and edit status, with all productivity and performance metrics delivered within 24 hours of data availability. The work is performance-based and demands high accuracy and consistency in reporting to support operational decision-making for healthcare claims management. The deliverables must be completed on a strict monthly cadence with tight turnaround expectations to ensure real-time visibility into claim processing efficiency and system performance. This subcontract is issued under NAICS code 541611 for Management Consulting Services and is associated with the Department of Health and Human Services through the Omas Strategic Buying Center - Information Technology. The place of performance is designated as Eagle Butte, South Dakota, with a zip code of 57625. The solicitation was posted on June 25, 2026, and responses are due by June 29, 2026, at 4:00 PM. While no set-aside designation is specified, the contract is structured as a subcontract with no information provided regarding the point of contact or exact funding details, and the location suggests potential engagement with tribal or rural healthcare systems.