Revenue Claims Management Cycle Services

Rev. 04/29/2026 This is a combined synopsis/solicitation for commercial products or commercial services prepared in accordance with Part 12. This announcement constitutes the only solicitation. Quotes are being requested and a separate written solicitation will not be issued. Solicitation No. 75H71026Q00109 is issued as a Request for Quotation (RFQ) for the procurement of Third-Party Revenue Clearinghouse Services. Required services include, but are not limited to, the following: • Access to verification of third-party payers; • Submission of 837 HIPAA-compliant claims; • End-to-end clearinghouse services; • Electronic submission of claims to Medicare, Medicaid, commercial payers, and the Department of Veterans Affairs (VA); • Real-time patient eligibility verification; and • Secure access through a web-based portal for authorized users. All services shall be provided in accordance with (IAW) the attached Performance Work Statement (PWS). The applicable North American Industry Classification System (NAICS) code is 541519 – Other Computer Related Services. This acquisition is a Indian Small Business Economic Enterprise (ISBEE) set aside. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov and www.acquisition.gov/hhsar. SCHEDULE OF ITEMS CLIN NO. Description Quantity Unit Price Extended Price 1 Claims Management Pro 12 Months 2 Claims Status 12 Months 3 ATT Attachments 12 Months 4 PC Paper Claims 12 Months 5 Eligibility Verification Starter 12 Months 6 Eligibility Verification Standard 12 Months 7 Medicare Beneficiary Identifier 12 Months 8 Direct Data Entry Verification 12 Months 9 RCM Intelligence Pro 12 Months 10 Insurance Discovery 12 Months 11 Demographic Verification 12 Months TOTAL PWS is included as an attachment. The period of performance (or delivery) is Date of award to 12/31/2028. Base period: Date of award to 12/31/2026 Option 1: 01/01/2027 to 12/31/2027 Option 2: 01/01/2028 to 12/31/2028 -- 1 of 19 -- Rev. 04/29/2026 The provision at 52.212-1, Instructions to Offerors – Commercial Products and Commercial Services (NOV 2025)(DEVIATION), applies to this acquisition. Addenda are not included. The provision at 52.212-2, Evaluation – Commercial Products and Commercial Services (NOV 2025)(DEVIATION), applies to this acquisition. The following factors shall be used to evaluate quotes: (a) Evaluation factors. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate offers: • Technical capability • Past performance to include relevant experience • Price (b) Options (if applicable). The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. The evaluation of options does not obligate the Government to exercise the option(s). (c) Notice of award. A written notice of award or acceptance of an offer furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer’s specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. (End of provision) The following Federal Acquisition Regulation provisions also apply: ☐ 52.203-11 CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE CERTAIN FEDERAL TRANSACTIONS SEP 2024 ☐ 52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR STATEMENTS-REPRESENTATION JAN 2017 ☒ 52.204-7 SYSTEM FOR AWARD MANAGEMENT - REGISTRATION NOV 2025 (DEVIATION) ☐ 52.204-7 Alt I SYSTEM FOR AWARD MANAGEMENT—REGISTRATION, WITH ALTERNATE I NOV 2025 (DEVIATION) ☐ 52.207-6 SOLICITATION OF OFFERS FROM SMALL BUSINESS CONCERNS AND SMALL BUSINESS TEAMING ARRANGEMENTS OR JOINT VENTURES (MULTIPLE-AWARD CONTRACTS) AUG 2024 ☐ 52.209-12 CERTIFICATION REGARDING TAX MATTERS OCT 2025 ☐ 52.216-31 TIME-AND-MATERIALS/LABOR-HOUR PROPOSAL REQUIREMENTS – COMMERCIAL ACQUISITION NOV 2021 ☐ 52.219-4 NOTICE OF PRICE EVALUATION PREFERENCE FOR HUBZONE SMALL BUSINESS CONCERNS NOV 2025 (DEVIATION) ☐ 52.219-31 NOTICE OF SMALL BUSINESS RESERVE MAR 2020 -- 2 of 19 -- Rev. 04/29/2026 ☐ 52.222-18 CERTIFICATION REGARDING KNOWLEDGE OF CHILD LABOR FOR LISTED END PRODUCTS FEB 2021 ☐ 52.222-48 EXEMPTION FROM APPLICATION OF THE SERVICE CONTRACT LABOR STANDARDS FOR MAINTENANCE, CALIBRATION, OR REPAIR OF CERTAIN EQUIPMENT–CERTIFICATION MAY 2014 ☐ 52.222-52 EXEMPTION FROM APPLICATION OF THE SERVICE CONTRACT LABOR STANDARDS FOR CERTAIN SERVICES-CERTIFICATION MAY 2014 ☐ 52.222-56 CERTIFICATION REGARDING TRAFFICKING IN PERSONS COMPLIANCE PLAN OCT 2020 ☐ 52.223-1 BIOBASED PRODUCT CERTIFICATION MAY 2024 ☐ 52.223-4 RECOVERED MATERIAL CERTIFICATION MAY 2008 ☐ 52.229-11 TAX ON CERTAIN FOREIGN PROCUREMENTS—NOTICE AND REPRESENTATION AUG 2025 (DEVIATION) ☐ 52.237-1 SITE VISIT APR 1984 ☐ 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS AND CERTIFICATIONS NOV 2025 (DEVIATION) 52.204-90 OFFEROR IDENTIFICATION NOV 2025 (DEVIATION) If the Offeror will not have an active Federal Government contracts registration in the System for Award Management (https://www.sam.gov) when submitting its offer, it shall complete paragraphs (c) and (d) of this provision and include its responses with its offer. (a) Definitions. As used in this provision— Commercial and Government Entity (CAGE) code has the meaning provided in the clause at FAR 52.204…