B01 - Price Schedule.xlsx
XLSX spreadsheet 12 KB Posted
- Solicitation number
- 75H70926BAO-39-RFQ
About this file
This is a Price Schedule template for RFQ 75H70926BAO-039-RFQ issued by the Department of Health and Human Services Indian Health Service for Medicare Claims Management/Revenue Cycle Management (RCM) Services. The quoter must provide pricing for two primary line items: Claims Management/Revenue Cycle Management (RCM) Service and a Setup Fee, with quantities of 12 months for each. The pricing structure covers a base year plus four option years (October 1, 2026 through September 30, 2031), with the form configured to auto-calculate contract year totals and total contract value based on unit prices entered by the contractor. Offerors must complete all blue cells with their pricing information and provide their company name and SAM UEI prior to submission.
This solicitation is a 100% Indian Small Business Economic Enterprise (ISBEE) set-aside and is being conducted as a Request for Quotation under FAR Part 12 for commercial services. Quotes must be submitted via email no later than July 2, 2026, at 5:00 pm MDT, and award will be made to the responsible party whose offer provides "Best Value to the Government" based on price and other evaluation factors. All offerors must be registered and active in the System for Award Management (SAM) at the time of quotation submission, with award announcements to be made through electronic public notice via SAM.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| B01 - 75H70926BAO-039-RFQ.docx | DOCX document | |
| B11 - IEE Representation.pdf | ||
| A05 - SOW FPSU Claims Management Services.docx | DOCX document |
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Text version
Sheet1
| Quoter's Company Name: | RFQ # | 75H70926BAO-039-RFQ | TITLE: | Medicare Claims Management Services |
| Quoter's SAM UEI: | **Contractor Fill-In Blue Cells, Form Will Auto-Calculate** |
| Contract Line Item Description | BASE YEAR | OPTION YEAR 1 | OPTION YEAR 2 | OPTION YEAR 3 | OPTION YEAR 4 | |||||||||||||||
| QTY | UNIT | UNIT PRICE | TOTAL PRICE | QTY | UNIT | UNIT PRICE | TOTAL PRICE | QTY | UNIT | UNIT PRICE | TOTAL PRICE | QTY | UNIT | UNIT PRICE | TOTAL PRICE | QTY | UNIT | UNIT PRICE | TOTAL PRICE | |
| FPSU Claims Management / Revenue Cycle Management (RCM) Service | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 |
| Setup Fee | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 | 12.0 | MO | $ - 0 | $0.00 |
| 0.0 | HR | $ - 0 | $0.00 | 0.0 | HR | $ - 0 | $0.00 | 0.0 | HR | $ - 0 | $0.00 | 0.0 | HR | $ - 0 | $0.00 | 0.0 | HR | $ - 0 | $0.00 | |
| Contract Year Total Amount | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
TOTAL CONTRACT VALUE $0.00
File details come from the government source that posted it. Updated .