Amendment 0001 - Remote Clearinghouse Service Subscription -Ute Mountain Ute Health Center - Towaoc, CO

The Albuquerque Area Indian Health Service (IHS) is soliciting a Request for Quote (RFQ) for Remote Clearinghouse Services for the Ute Mountain Ute Health Center located in Towaoc, Colorado. The procurement seeks a monthly subscription service for eligibility verification and claims submission, enabling the health center's business office, front office, and pharmacy to verify third-party insurance coverage for patients. The contract will be a firm-fixed price purchase order with a base year and four option years, totaling a five-year performance period. Vendors must submit a technical proposal, past performance documentation, and a quote by 5:30 pm MDT on April 11th, 2025, with questions accepted until April 4th, 2025. The evaluation will prioritize technical capability and past performance over pricing, with an estimated monthly usage of 800 transactions, including 500 Medicare claims, 300 commercial claims, and 70 eligibility lookups.

The solicitation is set aside for Indian Small Business Economic Enterprises (ISBEE) with a cascading approach that will expand to other small business concerns if insufficient competition is received. The current service provider is Inovalon, which will be replaced by the new purchase order. While specific award values are not explicitly stated, the procurement involves a monthly subscription service for claims processing, with an estimated 14,400 claims processed annually. The place of performance is Towaoc, Colorado 81321, and the contract is structured to begin on May 1, 2025. Vendors must be registered in the System of Award Management (SAM) and complete an Indian Economic Enterprise (IEE) Representation Form, demonstrating compliance with the Buy Indian Act requirements throughout the contract performance period.