ICE Medical Claims

The U.S. Department of Homeland Security (DHS) is conducting market research to identify potential vendors capable of providing a comprehensive medical claims processing system. The system should be able to adjudicate medical and dental claims submitted from community providers, including emerging technologies. The vendor should have the capability to integrate with other government systems, such as electronic health records (EHRs) or electronic medical records (EMRs). The vendor should also have experience with interoperability standards, such as HL7 and FHIR. The government is looking for a vendor that can provide a comprehensive medical claims processing system, including claims adjudication, payment processing, and provider network management. • The system should be compliant with federal standards, including HIPAA and NIST SP 800-53. • The system should have the capability to integrate with other government systems, such as EHRs or EMRs. • The vendor should have experience with interoperability standards, such as HL7 and FHIR. • The vendor should have a mechanism to perform credentialing services, whether through bidding with a network partner or independently coordinating and managing the provider credentialing process. • The vendor should be able to provide a comprehensive medical claims processing system, including claims adjudication, payment processing, and provider network management.