Intent to Sole Source: Inovalon Provider Inc - Revenue Cycle Management Services
Overview
Buyer
Place of Performance
NAICS
PSC
Set Aside
Original Source
Timeline
Qualification Details
Fit reasons
- NAICS alignment with historical contract wins in similar service areas.
- Scope strongly matches core technical capabilities and delivery model.
Risks
- Past performance thresholds may require one additional teaming partner.
- Potential clarification needed on staffing minimums before bid/no-bid.
Next steps
Validate eligibility requirements, assign capture owner, and schedule partner outreach to confirm teaming strategy before submission planning.
Quick Summary
The Navajo Area Indian Health Service, Chinle Comprehensive Health Care Facility (CCHCF) intends to award a non-competitive, sole-source purchase order to Inovalon Provider Inc for Revenue Cycle Management Services. This procurement aims to secure a "Software as a Service" (SaaS) solution for connectivity to Medicare FISS/DDEI, insurance verification, third-party claims processing (Medicare, Medicaid, VA, Commercial), claims attachments, and denial prevention analytics. The proposed contractor, Inovalon Provider Inc, is deemed uniquely qualified due to its proprietary software rights.
Scope of Work
- Provide secure exchange data software for Medicare FISS (Fiscal Intermediary Standard System) and Direct Date Entry (DDEI).
- Offer insurance verification and discovery services.
- Process third-party insurance claims for Medicare, Medicaid, VA, and Commercial Payers.
- Facilitate claims attachments and denial prevention analytics.
- Deliver services as a "Software as a Service" (SaaS) model, utilizing cloud-based applications with secure internet connectivity to the Inovalon Providers platform.
Contract & Timeline
- Type: Intent to Sole Source (Special Notice)
- Proposed Contractor: Inovalon Provider Inc
- Duration: One (1) one-year base period plus four (4) one-year option periods.
- NAICS: 518210 – Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services ($40M small business size standard).
- Set-Aside: None (Sole Source)
- Response Due: February 28, 2026, 5:00 PM MST
- Published: February 13, 2026
- Place of Performance: Chinle, AZ
Justification & Response Guidance
This notice is an intent to award a sole-source contract and is not a request for competitive proposals. No solicitation will be available for competitive quotes. Any interested party must submit clear and convincing evidence by the due date demonstrating that competition would be advantageous to the Government. The Government is not obligated to acknowledge receipt or provide feedback. Information received will be considered solely for future competitive procurement determinations. Proprietary, classified, confidential, or sensitive information should not be included in responses.
Contact Information
- Primary Point of Contact: Teola Autaubo
- Email: Teola.Autaubo@ihs.gov
- Phone: 928-674-7825