The Department of Health and Human Services Indian Health Service (IHS) is forecasting a recompete for Claims Switching and Cardfinder Service, set aside for total small business. The procurement falls under the Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services NAICS code (518210), with an estimated solicitation release date of January 1, 2025, and an estimated award date of February 1, 2025. The contract will focus on providing pharmacy-related electronic data interchange (EDI) processing, claims processing, transaction support, and pharmacy claims switching services.

The point of contact for this opportunity is Anna Hulsey, a Purchasing Agent at the Clinton Indian Health Center, who can be reached at anna.hulsey@ihs.gov or 580-331-3500. While specific award values are not explicitly defined in the forecast, the most recent related contract (GS35F0176X-75H71123F80144) had a ceiling value of $43,500, which may provide a baseline for potential bidders. The contract will likely be structured as a firm-fixed-price delivery order under the Multiple Award Schedule (MAS) contract vehicle.

The incumbent contractor for this recompete is Change Healthcare Operations, LLC, which currently holds contract number GS35F0176X-75H71123F80144. Their existing contract covers pharmacy claims switching and cardfinder services, with a period of performance from May 1, 2023, to April 30, 2024, and an ultimate completion date of April 30, 2026. The current contract has a ceiling value of $43,500 and is being performed under a Multiple Award Schedule (MAS) contract, providing healthcare technology solutions to the Indian Health Service.

Claims Switching and Cardfinder Service

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