SOURCES SOUGHT - CLEARINGHOUSE SERVICES FOR OKLAHOMA AREA IHS

The Indian Health Service is seeking capability statements from businesses that can provide clearinghouse services for the Oklahoma Area Indian Health Services. The services should include secure exchange data software solutions, eligibility verification, and third-party insurance claims validation and processing. The contractor should be able to process both medical and dental claims and provide support for end-to-end communication testing, implementation, and daily operations of the data transfers. The contractor should also provide customer support, secure internet-based connectivity, and ability to send claims to Medicare contractors using secure data exchange technology. Some key features of the required services include: • Secure exchange data software solution • Eligibility verification and third-party insurance claims validation and processing • Ability to process both medical and dental claims • Support for end-to-end communication testing, implementation, and daily operations of the data transfers • Customer support • Secure internet-based connectivity • Ability to send claims to Medicare contractors using secure data exchange technology