Pharmacy Claims Switching and Benefit Eligibility Verification Services
Contract Opportunity Analysis
The Indian Health Service (IHS) is seeking information from potential vendors regarding Pharmacy Claims Switching and Benefit Eligibility Verification Services as part of a Sources Sought Notice. The IHS requires integrated services that will work seamlessly with their existing Resource and Patient Management System (RPMS) to facilitate electronic claims submission, adjudication, and reimbursement from third-party payers. These services are crucial for ensuring compliance with industry standards, including NCPDP D.0, FISMA, NIST SP 800-53, HIPAA, and Section 508, while providing real-time eligibility verification and support for various payers. Interested parties must respond by February 10, 2026, and can direct inquiries to Darryl Smith at darryl.smith@ihs.gov.