ICE Medical Claims

The Department of Homeland Security's Immigration and Customs Enforcement (ICE) Health Service Corps is conducting market research through a Request for Information (RFI) to identify potential vendors capable of providing a comprehensive medical claims processing system. The system must support claims adjudication, reimbursement, program integrity, provider network management, and pharmacy services, including processing approximately 300,000 medical claims annually with capabilities for Medicare rate reimbursements, emergency department claim auto-approvals, and prescription management through retail and mail-order pharmacies. Potential vendors must respond to 24 detailed questions covering system functionality, automation levels, compliance with federal standards, provider enrollment processes, reporting capabilities, and technical integration requirements. The government will evaluate responses based on vendors' claims processing technology capabilities, provider network management experience, and ability to handle comprehensive healthcare administration functions. The original response deadline of August 28, 2025, at 12:00 pm CST was extended through Amendment A00002 to September 2, 2025, at 5:00 pm CST, with submissions limited to 15 pages and required to be submitted via email to the Contracting Officer.

This opportunity carries no set-aside designation and is open to all qualified vendors. The government has clarified that there is currently no incumbent contractor for these services, and no established procurement timeline has been set for any future solicitation. While specific contract values or budget ranges have not been disclosed in the RFI, the scope involves processing approximately 300,000 medical claims annually, indicating a substantial healthcare administration operation. The government is exploring procurement options through either a single vendor or multiple vendor structure and has reserved the right to hold one-on-one meetings with responsive vendors for additional clarification. ICE emphasizes that this RFI is solely for market research purposes and does not guarantee a subsequent solicitation or contract award, with all submission costs borne by the responding vendors.