PMA Maintenance Agreement for Network Server

The Indian Health Service (IHS) is seeking a contractor to provide 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. The contractor will be responsible for providing full network server services, including patient access, ability to verify multiple commercial and government payers, and electronic claims submission. The contractor must also provide training to CCHCF users and limit the amount of downtime with continuous operations. The period of performance will be 6 months from the date of award. Key responsibilities include: • Patient Access • Ability to verify multiple commercial and government payers • Identify additional billable insurance coverage for patients • 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