Remote Clearinghouse Services -Ute Mountain Ute Health Center - Towaoc, CO
ID: 75H70725Q00066Type: Combined Synopsis/Solicitation
Overview

Buyer

HEALTH AND HUMAN SERVICES, DEPARTMENT OFINDIAN HEALTH SERVICEALBUQUERQUE AREA INDIAN HEALTH SVCALBUQUERQUE, NM, 87110, USA

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518210)

PSC

IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICE (DA10)

Set Aside

Indian Small Business Economic Enterprise (ISBEE) Set-Aside (specific to Department of Interior and Indian Health Services) (ISBEE)

Original Source

https://sam.gov/opp/acd17de203a742caad18057b3f8dd946/view
Timeline
    Description

    The Department of Health and Human Services, through the Indian Health Service, is seeking proposals for Remote Clearinghouse Services for the Ute Mountain Ute Health Center located in Towaoc, Colorado. The primary objective of this procurement is to establish a subscription service that facilitates eligibility verification and serves as a lookup tool for processing claims, with an estimated annual claims volume of approximately 14,400. This initiative is crucial for enhancing operational efficiencies in healthcare funding resources, particularly for managing third-party insurance claims. Interested vendors must submit their proposals via email by 5:30 PM MDT on April 11, 2025, and can direct inquiries to Shandiin DeWolfe at Shandiin.DeWolfe@ihs.gov.

    Point(s) of Contact
    Shandiin DeWolfe
    (505) 256-6755
    Shandiin.DeWolfe@ihs.gov
    Files
    Title
    Posted
    FILLABLE TABLE - 75H70725Q00066.docx
    The Ute Mountain Ute Health Center (UMUHC) has issued a Request for Quotation (RFQ) No. 75H70725Q00066 for Remote Clearinghouse Services, with a contract period spanning from May 1, 2025, to April 30, 2030. The RFQ outlines a structured pricing approach for potential vendors, detailing a base year and four option years, each requiring a monthly cost that is to be multiplied by twelve to determine the total annual price. The document specifies that the pricing should be all-inclusive, covering all associated fees, taxes, and costs related to the services offered. Vendors have the flexibility to provide their quotations in a fillable table or their own format, allowing for adaptability in their pricing structures. The overall intent of this RFQ is to solicit competitive bids to identify a qualified provider for remote clearinghouse services, ensuring compliance with government standards and effective service delivery to support healthcare operations.
    IHS IEE Representation Form.pdf
    The Indian Health Service (IHS) document outlines the self-certification process for Offerors under the Buy Indian Act, which requires that enterprises meet the definition of an "Indian Economic Enterprise" at the time of proposal submission, contract award, and throughout the contract's performance period. Offerors must declare their eligibility and provide written notification to the Contracting Officer if they no longer meet these criteria. The document emphasizes the importance of honesty in submissions, indicating that false claims can lead to legal penalties under U.S. law. Furthermore, successful Offerors must be registered with the System of Award Management (SAM). The representation section is designed for Offerors to confirm their ownership status and provide relevant business information, reinforcing compliance and accountability. Overall, the document serves to ensure that contracts under the Buy Indian Act are awarded to qualified Indian enterprises, promoting the economic participation of Indigenous communities in federal contracting.
    Q_and_A - 75H70725Q00066.pdf
    The RFQ No. 75H70725Q00066 seeks proposals for Remote Clearinghouse Services for the Ute Mountain Ute Health Center in Towaoc, Colorado. The primary objective of the contract is to establish a subscription service that facilitates eligibility verification and serves as a lookup tool for processing claims. It is clarified that the government does not expect the contractor to provide human resources for claims processing or to manage the software. The estimated annual claims volume is approximately 14,400, correcting an earlier misstatement of 9,600. Currently, a process with Inovalon is in place for claims submission and verification, and the RFQ aims to explore the possibility of transitioning to a new contractor to commence once the existing contract ends. This inquiry into remote service capabilities emphasizes an intention to enhance operational efficiencies while maintaining existing processes.
    RFQ NO. 75H70725Q00066.pdf
    The document outlines a Request for Quotation (RFQ) by the Department of Health and Human Services, specifically for Remote Clearinghouse Services to support the Ute Mountain Ute Health Center in Towaoc, Colorado. The RFQ is expected to result in a firm-fixed price contract starting May 1, 2025, encompassing a base year and four additional option years. The services aim to facilitate eligibility verification and claims submission for third-party insurance resources, tracking approximately 500 Medicare claims and 300 commercial claims monthly. This initiative aligns with the Indian Health Service's goal to maximize healthcare funding resources. The RFQ includes detailed instructions for potential bidders, emphasizing the need for a technical proposal, past performance documentation, and a price quote. It outlines evaluation criteria that prioritize technical and past performance factors over cost. The document confirms that submissions must be compliant with specific federal procurement regulations and provide a structured approach to the contracting process. Notably, it supports small businesses through a set-aside structure favoring Indian Small Business Economic Enterprises and presents detailed invoicing, payment instructions, and contract clauses applicable to this solicitation.
    Sol_75H70725Q00066_Amd_0001.pdf
    The document details Amendment No. 0001 to solicitation number 75H70725Q00066 issued by the Department of Health and Human Services (DHHS) for a firm-fixed price contract regarding Remote Clearinghouse Services for the Ute Mountain Ute Health Center in Towaoc, Colorado. The amendment highlights the importance of acknowledging receipt of the amendment by offerors, which must be submitted by the specified deadline to avoid rejection. The project is set to commence on May 1, 2025, with a duration of one base year and four additional option years. Notably, the solicitation includes a cascading set-aside provision under the Buy Indian Act, prioritizing offers from Indian Small Business Economic Enterprises (ISBEEs), followed by other small business concerns if necessary. Additionally, the amendment incorporates a Q&A section for clarification. All existing terms and conditions remain in effect except as modified by this amendment, emphasizing the structured approach to solicitations in government contracting.
    Lifecycle
    Title
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    Remote Clearinghouse Services -Ute Mountain Ute Health Center - Towaoc, CO
    Currently viewing
    Combined Synopsis/Solicitation
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