PMA Maintenance Agreement for Network Server

2026-11-03

I . IntroductoryThis is a Sources Sought . This is NOT a solicitation for proposals , proposal abstracts , or quotations . The purpose of this Sources Sought is to obtain a knowledge and information on potential vendor interest for project planning purposes for a full maintenance agreement for the network server which provides subscriber and dependent coverage for claims status , submission of 837 claims for Medicare and Private insurance payers and inquiry / correction of pending claims . II . Project Description Background : The U . S . Department of Health and Human Services ( HHS ), Indian Health Service ( IHS ), is responsible for providing federal health services to American Indians and Alaska Natives . The provision of health services to members of federally recognized tribes grew out of the special government to government relationship between the federal government and Indian tribes . The IHS is the principal federal health care provider and health advocate for the Indian people . The goal is to assure that comprehensive , culturally acceptable personal and public health services are available and accessible to American Indians and Alaska Natives . The IHS currently provides health services to approximately 1 . 5 million American Indians and Alaska Natives who belong to more than 557 federally recognized tribes in 34 states . Navajo Area Indian Health Service ( NAIHS ) administers health centers and hospitals providing health care to approximately 201 , 583 members of the Navajo Nation . The Navajo Nation is the largest Indian tribe in the United States and has the largest reservation , which encompasses more than 25 , 516 square miles in northern Arizona , western New Mexico , and southern Utah , with three satellite communities in central New Mexico . The NAIHS is the primary provider of inpatient , ambulatory care , preventive and community health , and environmental health services for members of the Navajo Nation and the San Juan Southern Paiute Tribe . Requirements : Health and Human Services ( HHS ), Office of Mission Acquisition Solutions ( OMAS ) is conducting market research to prepare for the continued requirement of providing claims processing services to the Indian Health Service ( IHS ). The Contractor shall provide Full Preventive Maintenance services for existing Internet Server for 837 claims processing at Chinle Comprehensive Health Care Facility . The Chinle Service Unit needs a contractor to provide Medicare / Private Insurance claims processing services which allows the collections of third - party billing from IHS beneficiaries ' visits at the facility . The Contractor shall provide full network server services in the delivery of IT server services to CCHCF , an IHS provider . Specific tasks include the following : Requirements : The Contractor shall maintain full network services for the delivery of IT services to CCHCF . The contractor shall provide training to CCHCF users . The contractor shall limit the amount of downtime with continuous operations . Eligible Vendors : Businesses must be Indian Economic Enterprises ( IEEs ) ( at least 51 % Indian owned and controlled ). Business size and type of business ( e . g ., ISBEE / IEE , 8 ( a ), SDVOSB , etc .). All respondents should be registered on the System for Award Management ( SAM ) located at https :// www . sam . gov . Submission of Invoices : The contractor will submit invoices in accordance with FAR 52 . 212 - 4 ( g ) on a monthly basis . Attention : Business Office , P . O . Drawer PH , Chinle , Arizona 86503 . Telephone : 928 - 674 - 7030 ; Fax : 928 - 674 - 7705 . Anticipated Period of Performance : The anticipated start of performance is early - mid May 2026 with a duration of six ( 6 ) months . Duties and Responsibility Requirements :• Patient Access .• Ability to verify multiple commercial and government payers . Results into faster / more reimbursement for the facility .• Identify additional billable insurance coverage for patients . Billing :• Electronic claims submission for Medicare , Medicaid , Veteran Administration and Private Insurance • Provides 277 and 999 reports for electronic claims submitted to Medicare .• Dashboard of Private Insurance rejection session .• Ability to run reports for denials .• Capability to correct claims , obtain denial reasons and resubmit claims to payers . FISS / DDE :• Securely connect to Medicare Direct Data Entry ( DDE )• Support for multiple submitted IDs • Complete visibility to Medicare claim submissions • On - line claim corrections and ability to obtain denial reasons • Medicare Eligibility verifications • Built in EDI tracking capabilityContractor Qualification Requirements : Experience : The Contractor shall possess basic knowledge , skills and abilities to maintain and provide network services on a monthly basis . The Contractor must fill out and submit the IEE Represntation Form in order to be considered . The Contractor shall be in full compliant with Health Insurance Portability and Accountability Act of 1996 ( HIPAA ). The contractor shall define license and all relative documents . Government Furnished Information , Property and Services : Inspection : all services rendered will be inspected , reviewed , and monitored by TBD , BOM . Contracting Officer Representative ( COR ): TBDDepartment Point of Contact : TBD

Arizona

2026-04-28