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Contract Category
47 federal contract opportunities classified as Claims Processing.
AI Summary
The Defense Health Agency is hosting a virtual Industry Forum for the TRICARE Medicare Eligible Program 2nd Generation (TMEP2) to gather information on claims processing services. This forum will facilitate discussions with prime contractors and is intended for market research to inform the TMEP2 acquisition strategy. …
CO
AI Summary
The Department of Health and Human Services is seeking information on potential vendors for a full maintenance agreement for a network server that supports claims processing for Medicare and private insurance. Eligible vendors must be Indian Economic Enterprises. The anticipated performance period is six months startin…
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Centers for Medicare and Medicaid Services seeks to extend the Product Strategy Medicare Payment System Modernization contract for six months. This extension will ensure continuity in providing expert product management and strategic recommendations to support the modernization of Medicare's claims processing syste…
MD
AI Summary
The Centers for Medicare and Medicaid Services is seeking proposals for the ClaimsCore program, which aims to re-platform Medicare Fee for Service claims processing. This RFP includes the procurement of a Software as a Service (SaaS) solution along with configuration and integration services. Proposals are due by March…
MD
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Indian Health Service intends to award a sole-source contract to Change Healthcare Operations, LLC for pharmacy claims switching and benefit eligibility verification services across multiple facilities in North Dakota and South Dakota. The contract will span one base year and four option years, with an estimated aw…
SD
AI Summary
The Defense Health Agency is hosting a virtual Industry Forum for the TRICARE Medicare Eligible Program 2nd Generation (TMEP2) to gather information on claims processing services. This forum will include one-on-one sessions with prime contractors and aims to identify best practices for the upcoming acquisition strategy…
CO
AI Summary
The U.S. Department of Health and Human Services intends to award a sole source contract to Change Healthcare/Optum for pharmacy switch services at Red Lake Indian Hospital. This service is essential for electronic pharmaceutical claims processing and is compatible with the existing RPMS system. Interested parties may …
MN
DEPARTMENT OF VETERANS AFFAIRS
AI Summary
The Department of Veterans Affairs requires locator and outreach services to assist in locating beneficiaries and facilitating claims completion. The contract includes a 6-month base period with four 12-month options, focusing on improving claims processing efficiency. Interested quoters must complete the solicitation …
DC
AI Summary
The Indian Health Service is conducting market research for Revenue Claims Management Cycle Services. This sources-sought notice aims to identify potential sources for this requirement. Interested parties must submit their qualifications by February 23, 2026. This is not a solicitation, and the government will not assu…
AZ
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Department of Health and Human Services intends to award a sole source contract to Inovalon Provider Inc for Revenue Cycle Management Services. This includes a secure cloud-based software solution for Medicare and Medicaid claims processing. The contract will have a one-year base period with four one-year options. …
MD
AI Summary
The U.S. Department of Health and Human Services intends to award a sole source contract to Change Healthcare for pharmacy switching services at Cass Lake Indian Hospital. This service is essential for electronic pharmaceutical claims processing and is compatible with the IHS RPMS system. Interested parties may express…
MN
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Department of Health and Human Services has completed a limited sources justification for the Durable Medical Equipment Claims Processing System. This opportunity is for a service related to claims processing in the healthcare sector, and it is intended for informational purposes only.
MD
AI Summary
The Department of Veterans Affairs intends to award a sole source contract to Receivia, Inc. for third party billing services. This contract aims to ensure continuity of services for generating claims for non-service connected veterans. Interested parties may submit capability statements by February 20, 2026, to be con…
OH
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Indian Health Service seeks sources for clearinghouse services at the Cheyenne River Health Center in Eagle Butte, SD. The services include secure data exchange for medical claims processing, eligibility verification, and support for various payers. This notice is for market research to identify potential Indian Sm…
SD
DEPARTMENT OF VETERANS AFFAIRS
AI Summary
The Department of Veterans Affairs is seeking vendors capable of providing beneficiary locator and outreach services to assist in identifying and contacting veterans or their next-of-kin for insurance benefits distribution. Interested vendors, particularly SDVOSB or VOSB certified entities, are encouraged to express th…
DC
DEPARTMENT OF HEALTH AND HUMAN SERVICES
AI Summary
The Indian Health Service is seeking market research for pharmacy claims switching and benefit eligibility verification services. This Sources Sought Notice is for planning purposes only and does not constitute a solicitation. Interested parties should refer to the formal announcement for further details.
MD
AI Summary
The Navajo Area Indian Health Service intends to award a sole source contract to Inovalon Provider Inc. for Third Party Revenue Clearinghouse services. This includes verification of third party payers and claims submission. The contract will cover a base period and four option periods, with no solicitation for competit…
AZ
AI Summary
The Department of Defense is seeking industry feedback on the draft RFP for the TRICARE Medicare Eligible Program (TMEP2), which focuses on claims processing and customer support services for Medicare and TRICARE beneficiaries. Interested parties are encouraged to submit comments and questions regarding the draft requi…
CO
DEPARTMENT OF VETERANS AFFAIRS
AI Summary
The Department of Veterans Affairs is seeking information on a Payment Integrity Validation and Oversight Tool (PIVOT) to enhance its capabilities in detecting improper healthcare claims payments. This RFI invites vendors to demonstrate their SaaS solutions that integrate with existing VA systems, utilizing advanced an…
NJ
AI Summary
The Centers for Medicare and Medicaid Services (CMS) is issuing a Request for Information (RFI) to gather insights on large scale claims processing and adjudication vendors. This RFI aims to enhance beneficiary experience and administrative efficiency in Original Medicare. Responses will inform CMS's evaluation of clai…
MD
Common questions about finding and winning Claims Processing government contracts.