Novitas Solutions, Inc.

Mechanicsburg, PA Part of Guidewell Mutual Holding Corporation

UEI
PLHWY41UW5V3
CAGE
4KGW8
Primary NAICS
524292 Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
SAM.gov registration
Active through

Company facts

Self-certified in SAM.gov
  • For Profit Organization
Entity structure
Corporate Entity (Not Tax Exempt)
NAICS codes registered in SAM.gov
Show all
Corporate family
SAM.gov registration date
Physical address
2020 Technology Pkwy #100, Mechanicsburg, PA 17050, USA
Website
novitas-solutions.com
Employees
1K-5K
Estimated annual revenue
$250M-$500M
Industry
  1. Financials
  2. Insurance
SIC code
64 Insurance Agents, Brokers, & Service
Profiles

Registration and certifications come from SAM.gov and the SBA; company details from public web sources. Updated .

Recent federal awards

Novitas Solutions, Inc.'s 5 most recent federal contract and grant awards, newest first. Amounts are dollars obligated.
Award Agency Obligated Awarded
Services for the jurisdiction h (part a and b) medicare administrative contractor (MAC). The contractor will provide… Contract · 75FCMC26C0019 Centers for Medicare and Medicaid Services $568,382
The fssefa will assist CMS with accounting, invoicing (including printing and mailing), tracking of accounts… Contract · 75FCMC23F0081 Centers for Medicare and Medicaid Services $6,196,783
The contractor shall properly issue and/or revoke medicare supplier billing privileges for dmepos suppliers and maintain… Contract · 75FCMC22F0001 Centers for Medicare and Medicaid Services $71,096,247
A/b MAC jurisdiction l Contract · 75FCMC21C0019 Centers for Medicare and Medicaid Services $544,992,327
The purpose of this contract is to obtain services for the jurisdiction h (part a and b) medicare administrative… Contract · 75FCMC19C0018 Centers for Medicare and Medicaid Services $952,729,439

About Novitas Solutions, Inc.

Written by GovTribe AI ·

Novitas Solutions, Inc., a for-profit subsidiary of Guidewell Mutual Holding Corporation based in Mechanicsburg, Pennsylvania, is the prime contractor for Medicare Administrative Contractor (MAC) services and related health insurance benefit administration work with the Centers for Medicare and Medicaid Services (CMS), operating exclusively in the full-and-open competitive space with no set-aside designations across its entire portfolio.

Novitas holds a dominant, concentrated customer footprint. CMS accounts for 15 of 16 recent prime awards, representing $7.57 billion of the $7.6 billion combined potential value (100% portfolio concentration). The single remaining award is a GSA Multiple Award Schedule task order valued at $22.6 million. Novitas competes in two core capability areas: Medicare claims processing, payment, provider enrollment, and appeals administration (NAICS 524114, 524292; PSC R499), and health insurance benefit administration and financial services support (NAICS codes 524114, 525994; PSC categories spanning health insurance administration and professional support). Concrete example work includes a $948.5 million cost-plus-award-fee definitive contract for MAC Jurisdiction H services (Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, Texas), awarded July 1, 2026, running through June 30, 2033; a $790.3 million cost-plus-award-fee definitive contract for MAC Jurisdiction L services (Delaware, Maryland, New Jersey, Pennsylvania, Washington D.C., and parts of Virginia), awarded August 1, 2021, with ultimate completion July 31, 2028; an $71.5 million firm-fixed-price delivery order under the Provider Enrollment and Oversight IDIQ for DMEPOS supplier billing privilege issuance and revocation, awarded August 8, 2022; and a $7.9 million time-and-materials delivery order on the GSA Multiple Award Schedule for financial services support to CMS (accounting, invoicing, accounts receivable/payable, data validation, reporting), awarded September 9, 2023.

Service Contract Inventory captures a subset of Novitas's federal services revenue. SCI-reportable invoicing totaled $671.1 million across FY2022–FY2024 ($197.4 million in FY2022, $229.1 million in FY2023, $244.6 million in FY2024), with a corresponding federal workforce trajectory from 749 FTEs in FY2022 to 852 FTEs in FY2024. On SCI-reportable prime contracts, government-paid hourly rates ranged from a 10th percentile of $84.39 per hour to a median of $106.73 per hour and a 90th percentile of $131.99 per hour, reflecting a labor portfolio spanning administrative, operations, and technical roles without security-clearance requirements. Novitas's GSA Schedule offerings span 41 unique labor categories, priced from $44.31 per hour (Support Clerk I) to $210.31 per hour (Business Architect), covering roles from data-entry and administrative support through systems administration, database administration, and senior IT architecture.

Across SCI-reportable prime contracts, subcontractors performed approximately 4 percent of contractor hours, and Novitas reports 26 named subcontractors in the dataset. On the MAC Jurisdiction L contract, Novitas subcontracts core administrative functions to Servicesource Inc. (mailroom and administrative support), Avosys Technology and Global Computer Products Inc. (clinical review), Figliozzi & Company and Heffler, Radetich & Saitta (Part A cost report audits), Broadpath LLC (provider enrollment applications), Pearl Interactive Network LLC (customer contact center), Iron Mountain Information Management (NARA-compliant records storage), and TDY Medical Staffing (mailroom processing). On the financial services delivery order, Novitas subcontracts to Pearl Interactive Network LLC, a minority-owned small disadvantaged business.

Novitas operates as a pure prime contractor — all 16 recent awards are prime contracts with no sub-award activity in the source data. Two awards face completion within the next twenty-four months with combined potential value of $1.25 billion, creating recompete exposure. The parent company, Guidewell Mutual Holding Corporation, is structured as a not-for-profit mutual holding company and has received federal grants; Novitas operates as the for-profit subsidiary executing all named prime contracts.

Contract vehicles

Novitas Solutions, Inc. holds a place on 3 federal contract vehicles. Active vehicles first.

Quick answers

What is Novitas Solutions, Inc.'s UEI?

Novitas Solutions, Inc.'s Unique Entity ID (UEI) in SAM.gov is PLHWY41UW5V3.

What is Novitas Solutions, Inc.'s CAGE code?

Novitas Solutions, Inc.'s CAGE code is 4KGW8.

What is Novitas Solutions, Inc.'s primary NAICS code?

Novitas Solutions, Inc.'s primary NAICS code is 524292 (Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds).

Where is Novitas Solutions, Inc. located?

Novitas Solutions, Inc.'s physical address in SAM.gov is 2020 Technology Pkwy #100, Mechanicsburg, PA 17050, USA.

Is Novitas Solutions, Inc. registered in SAM.gov?

Yes. Novitas Solutions, Inc.'s SAM.gov registration is active through April 8, 2027.

Who is Novitas Solutions, Inc.'s parent company?

Novitas Solutions, Inc. is part of Guidewell Mutual Holding Corporation.

Which contract vehicles does Novitas Solutions, Inc. hold?

Novitas Solutions, Inc. holds a place on 3 federal contract vehicles, including MAS, Provider Enrollment and Oversight and PSS.

What is Novitas Solutions, Inc.'s most recent federal award?

Novitas Solutions, Inc.'s most recent federal contract award is Services for the jurisdiction h (part a and b) medicare administrative contractor (MAC). The contractor will provide… (75FCMC26C0019), from Centers for Medicare and Medicaid Services, on July 1, 2026.

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See Novitas Solutions, Inc.'s full federal record

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