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Medicare Claims Processing and Revenue Cycle Management SaaS

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Federal

Contract Overview

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This contract involves providing a cloud-based Software as a Service (SaaS) platform designed for Medicare claims processing and revenue cycle management. The solution supports key Electronic Data Interchange (EDI) standards, including 837, 835, and 276/277 transactions, and enables secure data exchange through SFTP, eliminating the need for any on-site software installation. The service is aimed at streamlining claims submission, payment processing, and overall financial workflows related to Medicare, enhancing efficiency for the Department of Health and Human Services. The contract is structured as a subcontract under an Indian Small Business Economic Enterprise (ISBEE) set-aside, targeting small businesses within the Department of Interior and Indian Health Services sectors. It falls under NAICS code 518210, which pertains to data processing, hosting, and related services. The contract is being awarded through the Billings Area Indian Health Service and includes performance requirements at an unspecified location with the zip code 59255. Proposals are due by July 2, 2026, supporting the agency’s continued modernization and digital transformation efforts in healthcare claims management.

General Info

Cloud-based SaaS for Medicare claims processing, supporting EDI standards, secure SFTP, ISBEE subcontract.

Agency

Department Of Health And Human Services → Billings Area Indian Health Svc

NAICS

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

Place of Performance

MT, 59255, USA

Set-Aside

ISBEE

Documents

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No documents available

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Timeline

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Organization & Contact Information

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AgencyDepartment Of Health And Human Services → Billings Area Indian Health Svc
ContactsNo contacts available
OfficeN/A
Organization / Agency
Department Of Health And Human Services → Billings Area Indian Health Svc
Office AddressN/A
ContactsNo contact information available

Full Description

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Provide a cloud-based SaaS solution for Medicare claims and revenue cycle management, supporting EDI standards (837, 835, 276/277) and secure data exchange via SFTP without on-site software installation.

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