Procurement Summary
Country : USA
Summary : Clearing House Services for Wagner IHS Healthcare Center
Deadline : 05 Jul 2025
Other Information
Notice Type : Tender
TOT Ref.No.: 121730776
Document Ref. No. : 75H70625Q00116
Financier : Self Financed
Purchaser Ownership : Public
Tender Value : Refer Document
Purchaser's Detail
Name :Login to see tender_details
Address : Login to see tender_details
Email : Login to see tender_details
Login to see detailsTender Details
Description
Statement of Work (SOW)
For the Wagner Health Care Center
Insurance Verification - Clearinghouse Services
Background:
The Mission of the Wagner Health Care Center is to provide the best possible healthcare services to the patients on the Yankton Sioux Reservation in South Dakota. To meet this mission, the WHCC is requesting a Base Plus Four (4) Option Year, firm-fixed price, non-personal service contract to provide insurance verification and patient eligibility services.
Objective:
The Wagner Health Care Center requires a secure exchange data software solution to provide connectivity to the Medicare DDE (Direct Data Entry)/FISS (Fiscal Intermediary Standard System), eligibility verification, and eligibility searches.
The contractor will perform third party insurance medical claims validation, electronic claim processing via clearinghouse services for Medicare, Medicaid, VA and Commercial Payers for the Wagner Health Care Center
Work Schedule/Availability
WHCC hours of operations are Monday through Sunday 7:00am to 11:00pm.
Period of Performance
Base year: One Year from Date of Award
Option Year 1: 06/26/2026 to 06/25/2027
Option year 2: 06/26/2027 to 06/25/2028
Option Year 3: 06/26/2028 to 06/25/2029
Option Year 4: 06/26/2029 to 06/25/2030
Place of Performance
Wagner Health Care Center
111 Washington Ave. NW
Wagner, South Dakota 57380
Scope
The contractor shall provide a secure exchange data software solution that provides technology for:
Connectivity to the Medicare DDE (Direct Data Entry) /FISS (Fiscal Intermediary Standard System) and automated claims status reporting, payment floor details and other reports Eligibility verification for third party payers to include Medicare Eligibility results must include start and end dates of coverage Capability to search eligibility for third party coverage for patients Third party ...
Active Contract Opportunity
Notice ID : 75H70625Q00116
Related Notice
Department/Ind. Agency : HEALTH AND HUMAN SERVICES, DEPARTMENT OF
Sub-tier : INDIAN HEALTH SERVICE
Office: GREAT PLAINS AREA INDIAN HEALTH SVC
General Information
Contract Opportunity Type: Combined Synopsis/Solicitation (Original)
Original Published Date: Jun 27, 2025 02:48 pm CDT
Original Date Offers Due: Jul 05, 2025 09:00 am CDT
Inactive Policy: Manual
Original Inactive Date: Jul 05, 2025
Initiative: None
Classification
Original Set Aside: Total Small Business Set-Aside (FAR 19.5)
Product Service Code: DA10 - IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICE
NAICS Code: 522320 - Financial Transactions Processing, Reserve, and Clearinghouse Activities
Place of Performance: Wagner, SD 57380 USA
Documents
Tender Notice
Sol_75H70625Q00116.pdf