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This Government Contract opportunity from Department Of Health And Human Services was posted on October 31, 2023. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Medical Claims Transmission and Remittance services for IHS PINE RIDGE HOSPITAL.

Awarded
IHS1482587Federal

Contract Overview

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

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Solicitation # 36C24C27Q0007
The Department of Veterans Affairs, through the Veterans Health Administration Office of Community Care, intends to establish a Firm Fixed Price contract with a second Health Care Clearinghouse to enhance connectivity and reduce processing times for revenue operations. The primary objective is to conduct HIPAA Health Care Eligibility/Benefit Inquiry and Response 270/271 electronic transactions and perform customized insurance coverage discovery to identify patient insurance information when the VHA does not have it on file. This effort supports administrative simplification and ensures maximum healthcare claim generation by utilizing the VistA electronic Insurance Verification and Electronic Insurance Coverage Discovery systems. The procurement is identified under NAICS code 518210 and is intended as a sole source procurement with PNT Data Corporation, utilizing statutory authority for certified service-disabled veteran owned small businesses. The contractor must maintain CAQH CORE certification and comply with FISMA 2014 and NIST standards for information security. Key deliverables include real-time HIPAA transactions for standard, participating, and non-participating payers, as well as customized discovery transactions for found and not-found insurance. Performance is measured via a Quality Assurance Surveillance Plan, and the contractor must provide minimum payer connectivity and validation testing within 30 business days of the award or effective date. The contract includes a potential six-month extension and requires monthly electronic invoicing. All participating organizations must meet strict accreditation requirements by November 1, 2026, to be considered acceptable.
Rpo Central (36C24C)

POSTED

about 12 hours ago

DEADLINE

in 5 days

General Info

NAICS

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

Place of Performance

Pine Ridge, SD, 57770, USA

Set-Aside

NONE

Documents

1

J&C for Other than Full and Open Competition - Ability Network Inc.

PDF, High priority: read this firstjustification-and-authorization
High

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Timeline

PhaseAwarded
Posted

special-notice

Awarded

Contract was awarded

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Health And Human Services → Great Plains Area Indian Health Svc
ContactsNo contacts available
OfficeABERDEEN, SD, 57401, USA
Office AddressABERDEEN, SD, 57401, USA
ContactsNo contact information available

Full Description

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The Great Plains Area Office, Aberdeen, South Dakota, Pine Ridge Service Unit, intends to award a sole-source award to Ability Network Inc. (Inovalon) to provide electronic medical claims processing and prepare it for reporting for the Pine Ridge IHS Hospital, Pine Ridge, South Dakota. Ability Network Inc. is the only company qualified to provide the license and technical support. This request is a sole source acquisition by the program. The software subscription cannot be provided by any BI or IEE vendors since Ability Network Inc. has the patents and proprietary rights. The software is currently compatible with the IHS RPMS and EHR applications and used locally and within the Great Plains Area location. The software provides electronic claims for the purposes of billing and capturing revenue for services at the Pine Ridge Services units and its clinics. The resultant contract award Period of Performance shall be Date of Award through One Year. The Justification for Other Than Full and Open Competition (Federal Acquisition Regulation 6.302-1: Only one responsible source and no other supplies or services will satisfy agency requirements, 41 U.S.C. 3304(a)(1)) was approved on 10/31/2023.

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Same awarding agency

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The Indian Health Service Great Plains Area is soliciting proposals under Solicitation No. 75H70627R00002 for non-personal Emergency Department Registered Nurse services to support the Standing Rock Service Unit at Fort Yates Hospital in North Dakota. This requirement is 100 percent set aside for eligible Indian Small Business Economic Enterprises under the Buy Indian Act, utilizing NAICS code 561320. The contract aims to provide up to eight qualified RN positions to ensure continuous 24/7 emergency department operations. The anticipated contract structure is a Firm-Fixed-Price agreement consisting of one four-month base period and fourteen four-month option periods, for a total potential performance period of 60 months. The selected contractor will be responsible for all recruitment, credentialing, scheduling, and management of nursing personnel. Award will be determined via a Best Value Tradeoff process, where the combined factors of Past Performance, Technical Approach, and Management Approach are deemed more important than Price. Proposals are due by November 30, 2026, at 12:00 p.m. Central Time. Evaluation will focus on the contractor's ability to maintain uninterrupted coverage and provide qualified staff meeting all federal, state, and IHS clinical standards. Pricing is based on a common monthly unit price per RN, and payments will be processed electronically through the Invoice Processing Platform.
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AMENDMENT 1 - Firm Fixed-Price, commercial item, single award, purchase order for a new LED sign at the Woodrow Wilson Keeble Memorial Health Care Center, Sisseton, South Dakota
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The Great Plains Area Indian Health Service is soliciting a firm fixed-price, single-award purchase order for the removal of an existing sign and the installation of a new LED sign at the Woodrow Wilson Keeble Memorial Health Care Center in Sisseton, South Dakota. This procurement is a 100% Small Business Set-Aside under NAICS code 339950. The contractor must provide a Daktronics GT6x-144x216-10-RGB-2V or an approved equal in a two-view, back-to-back configuration. All equipment must be new, and the installation must include structural verification per ASCE 7-22, electrical verification for 120/240 VAC power, and a final inspection by a qualified structural engineer. The period of performance is 120 days from the date of award. Award will be made based on the Lowest Price Technically Acceptable (LPTA) methodology. Proposals are evaluated on four factors: past performance via CPARs, a detailed problem and approach explanation, management capabilities regarding design and installation, and total proposed price. To be eligible, offerors must be rated acceptable in all non-price factors. Required deliverables include a minimum one-year labor and material warranty and documentation of five years of manufacturer parts coverage. All invoices must be processed electronically through the Invoice Processing Platform (IPP). Offers are due by October 30, 2026, at 1:00 pm CST and must be submitted electronically.
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Sources Sought: Propane Supply Services for the Cheyenne River Health Center, Eagle Butte, SD.
Solicitation # IHS1530962
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