Sources Sought: Pharmacy Claims Switching and Benefit Eligibility Verification Services for the Billings Area Indian Health Service (BAIHS) locations.

Amendment 01: Include IEE Representation Form, which was inadvertently omitted in the original publication.

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Sources Sought: Pharmacy Claims Switching and Benefit Eligibility Verification Services for the Billings Area Indian Health Service (BAIHS) locations.

Sources Sought Notice Number: 75H709-BAIHS-25-010

This Sources Sought Notice is for informational and planning purposes only and shall not be construed as a solicitation, an obligation or commitment by the Indian Health Service (IHS).

This notice is intended strictly for market research to determine the availability of Indian Small Businesses Economic Enterprise (ISBEE), or Indian Economic Enterprises (IEE)

Your responses to the information requested will assist the Government in determining the appropriate acquisition method, including whether a set-aside is possible. The anticipated applicable NAICS code for this acquisition is 518210, Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Service.

BACKGROUND:
The BAIHS locations plans to identify potential sources providing Non-Personal Services - Pharmacy Claims Switching and Benefit Eligibility Verification Services for the BAIHS locations.
 

OBJECTIVE:
The Billings Area Office in Billings, Montana works in conjunction with six (6) Health Service Units to provide health care to more than 70,000 American Indian and Alaska Native people in Montana. The service units include two (2) hospitals, one (1) critical access hospital, three (3) health centers, and several smaller health stations and satellite clinics.   Each facility incorporates a comprehensive healthcare delivery system. The hospitals, health centers and satellite clinics provide inpatient and outpatient care.
Switching Services are required when BAIHS health care facilities submit pharmaceutical claims electronically from the IHS Resource and Patient Management System (RPMS) computer system to third party Drug Plans for reimbursement. Pharmacy Benefit Eligibility Verification Services are web-based programs utilized to verify pharmacy insurance processing information and patient benefit eligibility status that is critical for Pharmacy Point-of-Sale (POS).
 

CONTRACT REQUIREMENTS:  
Refer to the Statement of Work.

AWARD TYPE:  
This is a sources sought notice.  Information received shall determine the best contract type.

ANTICIPATED PERIOD OF PERFORMANCE:
Period of Performance: Date of Award for twelve months with four (4) Option Periods.  

CAPABILITY STATEMENT / INFORMATION:
Interested parties are expected to review this notice to familiarize itself with the requirements of this project. Failure to do so will be at your firm’s own risk. The following information shall be included in the capability statement:

1. Company name, address, email address, website address, telephone number, and business size (i.e., small business, 8(a), woman owned, veteran owned, etc.)  and type of ownership for the organization.
2. Company Point of Contact’s Name, telephone number, and e-mail address.  Company POC shall have the authority and knowledge to clarify responses.
3. System for Award Management (SAM) Unique Entity Identifier (UEI) number, expiration, and registration status. All respondents must register on the SAM located at http://www.sam.gov .
4. Applicable company GSA Schedule number or other available procurement vehicle.
5. Capability Statement: Detailed capability statement addressing the company’s qualifications and ability to provide the requirements listed in the Performance Work Statement, with appropriate and specific documentation supporting claims of recent organizational and staff capability to support this requirement.  If significant subcontracting or teaming is anticipated in order to deliver technical capability, organizations should address the administrative and management structure of such arrangements.
6. Experience: Provide a list of 3-5 private industry or Government contracts for the same services that you have performed within the last 3 years. For each contract, include the company’s Point of Contact, email address, telephone number, dollar value of contract, and description of the services provided on the contract.  The Government may contact these entities to conduct past performance checks.  Reference letters accepted.
7. Include Notice Number 75H709-BAIHS-25-010 in the subject line of your emailed response.

If American Indian/Native American owned small business, then complete attached IEE Representation form and return it with your response.