Medical Claims Processing Services
Award Notice Posted
- Solicitation number
- 15-236-SOL-00019
- Agency
-
Indian Health Service
Department of Health and Human Services
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- HHSI236201500003C Federal IDV award
- NAICS code
- 524291 Claims Adjusting
- PSC
- Not on record
- Place of performance
- Contractor Facility, United States
Notice details come from SAM.gov. Updated .
Notice text
2 versions
Update #2 · Latest ·
The purpose of this procurement is to acquire fiscal intermediary (FI) services to operate a centralized medical and dental claims processing and reimbursement system. The FI will collect, compile and organize workload and financial data, assist the Indian Health Service (IHS) in the coordination of benefits and provide statistical and financial reports to the IHS Purchased/Referred Care (PRC) Program, formerly known as contract health services. The FI shall calculate Medicare and other reimbursement rates in accordance with regulations and the IHS payment policy and ensure that the IHS is the payer of last resort for services provided to patients. The Contractor will participate in the solution of problems and issues which arise in the conduct of this contract. Under this contract FI services will also be made available to Tribal PRC programs operated under the Indian Self-Determination and Education Assistance Act (ISDEAA), Public Law 93-638, as amended.
The Indian Health Service (IHS) has a responsibility to provide health care services to eligible American Indian and Alaska Natives (AI/AN). Direct health care services are provided through IHS-operated and Tribally-operated hospitals, clinics and health care programs. IHS supplements its direct health care services by purchasing basic and specialty health care services from non-IHS health care providers through the PRC program. Program funds may be used to inpatient hospitalization, purchase physician, laboratory, dental, radiology, pharmacy, and transportation services.
Questions relating to this acquisition shall be submitted to Michael Fischer via electronic mail using the question template document (see table page 66 of RFP) at Michael.Fischer@ihs.gov no later than 12:00pm EST May 11, 2015. All e-mail inquiries shall have "Question - RFP 15-236-SOL-00019" included in the subject line.
Amendment 001:
The purpose of this amendment is to:
1. Attach Question and Answer Document
2. Attach Amended version of the RFP as outlined in the Question and Answer Dcoument
3. Include Attachment G. Quality Control Record
4. Extend due date for proposals to 4:00pm EST on May 27, 2015
Submission Deadline
Your quote is due no later than 4:00PM EST on May 27, 2015 electronically to Contract Specialist Michael Fischer via email ONLY.
Update #1 ·
The purpose of this procurement is to acquire fiscal intermediary (FI) services to operate a centralized medical and dental claims processing and reimbursement system. The FI will collect, compile and organize workload and financial data, assist the Indian Health Service (IHS) in the coordination of benefits and provide statistical and financial reports to the IHS Purchased/Referred Care (PRC) Program, formerly known as contract health services. The FI shall calculate Medicare and other reimbursement rates in accordance with regulations and the IHS payment policy and ensure that the IHS is the payer of last resort for services provided to patients. The Contractor will participate in the solution of problems and issues which arise in the conduct of this contract. Under this contract FI services will also be made available to Tribal PRC programs operated under the Indian Self-Determination and Education Assistance Act (ISDEAA), Public Law 93-638, as amended.
The Indian Health Service (IHS) has a responsibility to provide health care services to eligible American Indian and Alaska Natives (AI/AN). Direct health care services are provided through IHS-operated and Tribally-operated hospitals, clinics and health care programs. IHS supplements its direct health care services by purchasing basic and specialty health care services from non-IHS health care providers through the PRC program. Program funds may be used to inpatient hospitalization, purchase physician, laboratory, dental, radiology, pharmacy, and transportation services.
Questions relating to this acquisition shall be submitted to Michael Fischer via electronic mail using the question template document (see table page 66 of RFP) at Michael.Fischer@ihs.gov no later than 12:00pm EST May 11, 2015. All e-mail inquiries shall have "Question - RFP 15-236-SOL-00019" included in the subject line.
Submission Deadline
Your quote is due no later than 4:00PM EST on May 21, 2015 electronically to Contract Specialist Michael Fischer via email ONLY.
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