Revenue Claims Management Cycle Services
Closed Special Notice Posted
- Solicitation number
- IHS1522391
- Agency
-
Indian Health Service
Department of Health and Human Services
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 541519 Other Computer Related Services
- PSC
- R702 Support- Management: Data Collection
- Place of performance
- Crownpoint, New Mexico 87313, United States
- Points of contact
Notice details come from SAM.gov. Updated .
About this opportunity
The Navajo Area Indian Health Service, under the Department of Health and Human Services, published a Special Notice on January 26, 2026, announcing its intent to award a sole-source contract to Inovalon Provider Inc. for Third Party Revenue Clearinghouse services at the Crownpoint Healthcare Facility in Crownpoint, New Mexico. The notice falls under NAICS code 541519 (Other Computer Related Services) with a small business size standard of $34 million. This is not a competitive solicitation, and the agency has determined that Inovalon Provider Inc. is the only source capable of providing the required services. The Indian Health Service is providing this notice to allow interested parties an opportunity to submit evidence that competition would benefit the Government before contract award.
The objective of this procurement is to secure comprehensive Third Party Revenue Clearinghouse services, including third-party payer verification, HIPAA-compliant 837 claims submission, and reimbursement management for both DDE+ and Medicare payers. The contract has a base performance period from March 1, 2026, through February 28, 2027, with four optional one-year renewal periods extending through February 28, 2031. Prospective contractors must submit any challenge to the sole-source justification by the deadline of February 10, 2026, at 9:00 a.m. MST, with clear and convincing evidence demonstrating that competition would be advantageous to the Government. Only responses meeting this high evidentiary standard will be considered; otherwise, the contract will be issued to Inovalon Provider Inc. without further notice or solicitation. Interested parties should direct inquiries to Arlynda Largo, Purchasing Agent, at Arlynda.largo@ihs.gov.
Notice text
The Navajo Area Indian Health Service, Crownpoint Healthcare Facility in Crownpoint, NM, intends to award contract to Inovalon Provider Inc. to procure Third Party Revenue Clearinghouse services which includes encompass access to verification of third party payers, submission of 837 HIPAA claims, and reimbursement Management DDE+, Plus MDE for Medicare payers.
The anticipated period of performance is:
Base Period: 03/01/2026 to 02/28/2027
Option Period One: 03/01/2027 to 02/29/2028
Option Period Two: 03/01/2028 to 02/28/2029
Option Period Three: 03/01/2029 to 02/28/3030
Option Period Four: 03/01/3030 to 02/28/2031
The applicable North American Industry Classification System (NAICS) code assigned to this procurement is 541519- Other Computer Related Services with a small business size standard of $34m.
No further awards will be made unless the need for Crownpoint Healthcare Facility changes. The prospective services identified in this notice is sufficient at this time. The identified vendor has the capability to provide Third Party Revenue Clearinghouse services and market research indicates the vendor is the only source.
This notice of intent to award a sole source contract is not a request for competitive proposals. There will be no solicitation available for competitive quotes. Any response to this notice must show clear and convincing evidence that competition would be advantageous to the Government. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted. If no affirmative written response is received by February 10,2026, 9:00 am MST, the contract will be issued without further notice.
Primary Point of Contact:
Arlynda Largo, Purchasing Agent
Arlynda.largo@ihs.gov
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