SOURCES SOUGHT
D -- CLEARINGHOUSE SERVICES - OCAO INDIAN HEALTH SERVICES - STATEMENT OF WORK
- Notice Date
- 10/23/2018
- Notice Type
- Sources Sought
- NAICS
- 518210
— Data Processing, Hosting, and Related Services
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Oklahoma City Area Office, 701 Market Drive, Oklahoma City, Oklahoma, 73114, United States
- ZIP Code
- 73114
- Solicitation Number
- 246-19-SS-0003
- Archive Date
- 12/14/2018
- Point of Contact
- Edson Yellowfish, Phone: 405-951-3888
- E-Mail Address
-
edson.yellowfish@ihs.gov
(edson.yellowfish@ihs.gov)
- Small Business Set-Aside
- N/A
- Description
- STATEMENT OF WORK FOR CLEARING HOUSE SERVICES FOR OCAO INDIAN HEALTH SERVICES Scope of Work Purpose: The Oklahoma City Area Indian Health Service requires a software application that provides a secure exchange, that assures all electronic transactions and DDE(Direct Data Entry) /FISS (Florida Information Shared System) access provide confidentiality, authentication, integrity and non-repudiation for the twelve IHS facilities. It is mandated by IHS Headquarters that payment systems are updated to reflect changes in medical practice and relative value of services. Based on this; secure exchange managed services are needed for claims process to keep in compliance. Statement of Work: The contractor shall provide a secure exchange data software solution that provides a unique technology approach for connectivity to the Medicare DDE(Direct Data Entry) /FISS (Florida Information Shared System) products, eligibility verification and third party insurance claims validation, approval and processing services via a clearinghouse for Medicare, Medicaid, VA and Commercial Payers for the Oklahoma City Area (OCA). The contractor shall be able to process both medical and dental claims. The OCA facilities include the Claremore Indian Hospital, Lawton Indian Hospital, Anadarko Indian Health Center, Carnegie Indian Health Center, Pawnee Indian Health Center, Clinton Indian Health Center, EL Reno Indian Health Center, Watonga Indian Health Center, Wewoka Indian Health Center and the Oklahoma City Area Office all located in Oklahoma and the Haskell Indian Health Center and White Cloud Indian Health Station located in Kansas. The service shall comply with the following constraints: The service shall not require OCA facilities to install contractor software within the Oklahoma City Area Indian Health Service Environment The service shall enable OCA facilities to exchange data utilizing a secure File Transfer protocol (FTP) as approved by the Indian Health Service (IHS) Office of Information Technology. The service shall support EDI transactions and interactive telnet sessions The service shall support multiple users and access shall be workstation independent The service shall not entail development of HIPAA (Health Insurance Portability and Accountability Act) transaction set translation or mapping processes, non-CMS or non-IHS generated data or messages, or data reformatting The service shall conform to the information agreements to be established via an Interconnection Security Agreement and Memorandum of Understanding between Indian Health Service and the Contractor. The service shall also conform to a business associate agreement to be established between the OCA facilities and the Contractor. The contractor shall support end-to-end communication testing, implementation and daily operations of the data transfers from the contractor to the OCA facilities, which shall include, at a minimum: The contractor shall provide routine technical support to implement corrections to service occurring as a result of errors, flaws, or other failures within their service. The contractor shall notify a designated OCA point of contact (Contracting Officer's Representative (COR)) of any scheduled maintenance that shall result in downtime at least two (2) days prior to the maintenance period. The contractor shall notify a designated OCA point of contact of any issues as their facilities or at the contractor that result in a disruption of data exchange capabilities. This notification shall occur as soon as possible after the disruption has been identified. The contractor shall provide customer support for reporting, documenting, tracking and resolving of service problems, which shall be available via telephone and email to the OCA technical staff during the period 8:00 am to 5:00 pm central standard time. The contractor shall provide: Secure internet based connectivity to all current fiscal intermediaries. Ability to send claims to Medicare Contractor using a secure date exchange technology. Unlimited DDE and PPTN online Medicare claims status/corrections, etc. for Medicare Part A. All electronic transactions DDE/FISS access provides confidentiality, authentication, integrity and non-repudiation Automated batch 837/835 file transfers. Automated batch 276/277 claims correction capability. Accept electronic claims from RPMS. Obtain reports and acknowledgements on claims sent. Alert billing staff to errors so they can correct claim errors timely and ability to resubmit claim for processing. Provide a single location to manage all electronic claims, including VA claims. Verify Medicare and Commercial Payer eligibility in real time. Flat fee for unlimited transactions. Provide knowledgeable support personnel. Help Desk services available when needed. Period of Performance: One Year with an Option to extend 4 additional Option Years.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/IHS/IHS-Oklahoma/246-19-SS-0003/listing.html)
- Place of Performance
- Address: OKLAHOMA CITY AREA INDIAN HEALTH SERVICE, 701 MARKET DRIVE, OKLAHOMA CITY, Oklahoma, 73114, United States
- Zip Code: 73114
- Zip Code: 73114
- Record
- SN05132390-W 20181025/181023230637-9e657583f1b07687453774e1836598b7 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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