Secure Exchange Data Software - 3Rd Party Insurance Claims M/M/Va/Commercial Payers... Tender

Procurement Summary

Country : USA

Summary : Secure Exchange Data Software - 3Rd Party Insurance Claims M/M/Va/Commercial Payers - Santa Fe Indian Health Center

Deadline : 17 Jun 2024

Other Information

Notice Type : Tender

TOT Ref.No.: 102160346

Document Ref. No. : SecureExchangeDataSoftware-3rdParty_Insurance_Claims_SFIHC

Competition : ICB

Financier : Self Financed

Purchaser Ownership : Public

Tender Value : Refer Document

Purchaser's Detail

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Tender Details

Description

SOURCES SOUGHT

BACKGROUND:

The Albuquerque Area Indian Health Service (AAIHS), Santa Fe Indian Health Center (SFIHC) Business Office Department, has a requirement for Secure Exchange Data Software - Perform Third-Party Insurance Claims Processing for Medicare, Medicaid, VA and Commercial Payers. Santa Fe, New Mexico.

OBJECTIVE:

Santa Fe Indian Health Center requires a secure exchange data software solution to provide connectivity to various Revenue Cycle Management services, insurance verification/discovery, perform third-party insurance claims processing for Medicare, Medicaid, VA and Commercial Payers, claims attachments and denial prevention analytics with RCM Intelligence. SFIHC is looking for business and revenue continuity, to keep Software as a Service (no contractor software within the SFIHC environment), confidentiality, authentication, integrity, and non-repudiation as required.

Secure exchange managed services are needed for the medical, behavioral, and dental claims process to keep in compliance with Indian Health Service mandates.

RESPONSIBILITIES:

To provide secure exchange software platform to perform third-party insurance claims processing for Medicare, Medicaid, VA and Commercial Payers. To allow SFSU to submit, edit and receive claims for Medicare, Medicaid and other commercial insurance companies. To allow use of Electronic claims for submission. And claims to be submitted multiple times per day. A system must be in place to identify claims that will not be accepted by Payers. Errors will be identified, so users can correct those claims through pre-established instructions to correct claim. Support end-to-end communication testing, implementation and daily operations of the data transfers from the contractor to Santa Fe Indian Health Clinic. Provide staff training via internet meetings upon implementation and as needed. Provide helpful videos and support pages throughout each system will be included. Pro...
Active Contract Opportunity Notice ID SecureExchangeDataSoftware-3rdParty_Insurance_Claims_SFIHC Related Notice Department/Ind. Agency HEALTH AND HUMAN SERVICES, DEPARTMENT OF Sub-tier INDIAN HEALTH SERVICE Office ALBUQUERQUE AREA INDIAN HEALTH SVC
General Information
Contract Opportunity Type: Sources Sought (Original)
All Dates/Times are: (UTC-06:00) MOUNTAIN STANDARD TIME, DENVER, USA
Original Published Date: Jun 04, 2024 09:32 am MDT
Original Response Date: Jun 17, 2024 12:00 pm MDT
Inactive Policy: 15 days after response date
Original Inactive Date: Jul 02, 2024
Initiative: None

Classification
Original Set Aside:
Product Service Code: DA10 - IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICE
NAICS Code: 522320 - Financial Transactions Processing, Reserve, and Clearinghouse Activities

Place of Performance: Santa Fe, NM 87505 USA

Documents

 Tender Notice

IHS-IEE-Representation-Form_Jan-2022_508-Compliant.pdf