SFIHC - Secure Exchange Data Software - Perform Third-Party Insurance Claims Processing for M/Medicaid/VA and Commercial Payers

SOLICITATION

The Indian Health Service (IHS), Albuquerque Area office (AAO), Santa Fe Indian Health Center (SFIHC) has a requirement for Secure Exchange Data Software - Perform Third-Party Insurance Claims Processing for Medicare, Medicaid, VA and Commercial Payers.

This is a combined synopsis for Indian Health Service (HIS) for commercial items or services prepared in accordance with format in FAR 12.6, as supplemented with additional information included in this notice.

The solicitation number is 75H70724R00099 and is issued as a Request for Proposal (RFP), unless otherwise indicated herein. The solicitation document and incorporated provision and clauses are those in effect through Federal Acquisition Circular 2024-05.

The associated North American Industrial Classification System (NAICS) code for this procurement is 522320 with a business size standard $47.0.

Prospective Offerors are invited to submit proposals in reference to the solicitation cited above. The proposal should include the following:

1. Complete Pricing Table (fillable or attached)

2. Past Performance

3. Signed SF-1449

4. Signed Indian Economic Enterprise Representation Form (IEE).

Set-Aside:

Under the Buy Indian Act, 25 U.S.C. 47, through the transfer of authority from the Department of Interior to HHS, offers will be solicited from Indian Small Business Economic Enterprises (see HHSAR Subpart 326.6) that are also small business concerns. If IHS does not receive enough competition and/or reasonably priced offers from ISBEE set-aside, IHS will then evaluate proposals and consider for award to other small business concerns. Any acquisition resulting from this set-aside will be as follows:

1st Tier:  Small Business Indian Firms

2nd Tier: Other Small Businesses

3rd Tier: All Other Than Small Business

ONLY ONE AWARD WILL RESULT FROM THIS SOLICITATION.

Destination shall be for the following Albuquerque Area Indian Health Service under the Santa Fe Indian Health facility:

Santa Fe Indian Health Center, Business Office Department, 1700 Cerrillos Road, Santa Fe, NM 87505.

This solicitation will result in a Single Award with a Base + 4 Option Periods from the date of award based on Satisfactory Performance ratings.

Other Details

SAM Requirement - This solicitation requires registration with the sam.gov prior to award, pursuant to applicable regulations and guidelines. Registration can be found at https://www.sam.gov. Vendor must have an active UEI number.

Invoicing – Invoices submitted under an award resulting from this solicitation will be required to utilize the Invoice Processing Platform (IPP) in accordance with HHSAR 352.232-71, Electronic Submission and Processing of Payments Requests (FEB 2022).

Payment – All payments by the Government under an award shall be made by electronic funds transfer (EFT), per FAR 52.232.33.

Proposal Submission

All responsible offerors that respond to this solicitation must submit their proposals by 08/30/2024, by COB 12:00 p.m., (MDT). The proposal shall be sent preferably by Email to: patricia.trujillo@ihs.gov. Failure to comply with the below terms and conditions may result in offer being determined as non-responsive.

Questions Submission: Interest Offerors must submit any questions concerning this solicitation at the earliest time possible to enable to respond. Technical questions must be submitted by Email to: travis.snyder@ihs.gov prior to closing of the solicitation.

Acquisition Questions Submission: Must be submitted by Email to: patricia.trujillo@ihs.gov prior to closing of the solicitation. Questions not received within a reasonable time prior to close of the solicitation will not be considered.