This Subcontract opportunity from Department Of Health And Human Services was posted on August 5, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.
Third-Party Claims Processing
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The contract involves the submission, tracking, and reconciliation of medical claims for government and private insurers using standardized electronic formats including 837P and 837I. This subcontract is under the Navajo Area Indian Health Service, part of the Department of Health and Human Services, and is intended to support healthcare administrative functions for patients served by this agency. The work must be performed in Chinle, with no specific office address provided, and the contractor will be responsible for ensuring accurate and timely processing of claims to facilitate proper reimbursement and financial accountability. The task requires strict compliance with industry billing standards and seamless integration with existing payer systems. The solicitation was posted on August 5, 2026, with a response deadline of August 19, 2026, at 11:00 PM Eastern Time. There is no set-aside designation specified, meaning the contract is open to all eligible entities regardless of size or ownership status. The NAICS code 561400 categorizes this as an administrative management service, indicating that the focus is on operational support rather than direct clinical care. Contractors must be equipped with the systems and expertise necessary to handle high volumes of claims data, maintain audit trails, and resolve discrepancies efficiently to meet the agency’s financial and regulatory obligations.
General Info
NAICS
Place of Performance
Chinle, AZ, USASet-Aside
Documents
This scope was carved out of IHS1522763.
The full solicitation package (2 documents), including the RFP, is on the prime solicitation, not on this scope.
Sources Sought Notice - Revenue Cycle Management Services
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Timeline
Submission Closed
Organization & Contact Information
Full Description
More opportunities from Department Of Health And Human Services → Navajo Area Indian Health Svc
Same awarding agency
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