Insurance Verfication Clearinghouse Services
Forecast Recompete Updated
- Agency
-
Indian Health Service
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $10,000 to $25,000
- Set-aside
- Total Small Business
Forecast facts
- Incumbent contract
-
- 75H70625P00276 Federal contract award held by Claim Revolution, LLC Ends Jun 25, 2030 · Value with all options $16,025
- Previous solicitation
- Clearing House Services for Wagner IHS Healthcare Center 75H70625Q00116 · Posted Jun 27, 2025
- Anticipated award
- NAICS code
- 522320 Financial Transactions Processing, Reserve, and Clearinghouse Activities
- Points of contact
-
- Ladonna Collins ladonna.collins@ihs.gov (605) 252-6071
- Leah Williamson leah.williamson@ihs.gov
Forecast details come from HHS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Indian Health Service is recompeting a total small business set-aside for insurance verification clearinghouse services, with solicitation release estimated for February 1, 2027 and award anticipated by June 1, 2027. The procurement calls for a secure data exchange software solution providing connectivity to Medicare DDE (Direct Data Entry) and FISS (Fiscal Intermediary Standard System), eligibility verification, and eligibility searches. The work falls under NAICS 522320 (Financial Transactions Processing, Reserve, and Clearinghouse Activities).
The estimated award value ranges from $10,000 to $25,000. Place of performance is Wagner, South Dakota. Points of contact are Leah Williamson, Billing Technician at Wagner IHS Health Center (leah.williamson@ihs.gov), and Ladonna Collins, Contracting Officer at Indian Health Service (ladonna.collins@ihs.gov, 605-252-6071).
The incumbent awardee is Claim Revolution, LLC, a women-owned small business and HUBZone-certified firm, which holds Purchase Order 75H70625P00276 valued at $16,025.00 (awarded July 11, 2025). The current award covers clearinghouse services for the business office department at Wagner IHS Healthcare Center, with a period of performance from June 26, 2026 to June 25, 2027. Services include insurance verification and patient eligibility for the Yankton Sioux Reservation, third-party insurance claims validation, electronic claim submission for Medicare, Medicaid, VA, and commercial payers, HIPAA-compliant operations, technical support with a two-hour response time during business hours, unlimited user access independent of workstation, and claims processing by close of the next business day after receipt.
Forecast text
a secure exchange data software solution to provide connectivity to the Medicare DDE (Direct Data Entry)/FISS (Fiscal Intermediary Standard System), eligibility verification, and eligibility searches.
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