NPSC Clinical Laboratory Scientist Services at the NNMC

The Indian Health Service seeks a web-based, HIPAA-compliant clearinghouse claims management solution to automate revenue cycle processing for the Shiprock Service Unit, with quotes due August 14, 2026, and questions due August 7 at 12:00 p.m. Mountain Time. The procurement is set aside exclusively for Indian Small Business Economic Enterprises (ISBEE) under the Buy Indian Act.

Place of performance includes Northern Navajo Medical Center in Shiprock, New Mexico; Dzilth-Na-O-Dith-Hle Health Center in Bloomfield, New Mexico; and Four Corners Regional Health Center in Teec Nos Pos, Arizona. The solution must deliver a single claims management interface for all payers, provide front-end eligibility verification, automated claims processing, denial management, real-time EDI transactions, and reimbursement posting. The system must integrate with the existing patient registration system and support Medicare intermediary transitions and third-party requirements such as ICD and CPT mandates.

All deliverables must comply with Revised Section 508 Standards and WCAG 2.1 Level AA accessibility standards, documented via VPAT 2.5 template or HHS Section 508 Accessibility Checklists. The contractor must execute a Business Associate Agreement establishing HIPAA compliance obligations, including safeguarding Protected Health Information, reporting unauthorized uses within 30 days and breaches within one hour of discovery, providing individual access to PHI within five calendar days, and permitting HHS Secretary and IHS access for compliance verification.

The contract structure consists of a 12-month base period (September 1, 2026 through August 31, 2027) followed by four optional 12-month extension periods. All five CLINs must be quoted or the quotation will be marked unresponsive. Responses must be submitted in three labeled volumes: administrative documents, technical capability, and price. Offerors must complete the IHS IEE Representation Form certifying eligibility as an Indian Economic Enterprise, with 51% Indian ownership, and maintain such eligibility throughout offer, award, and full contract performance. The NAICS code is 518210.