Revenue Claims Management Cycle 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 (IHS), Crownpoint Healthcare Facility in Crownpoint, NM, intends to award a sole source contract to Inovalon Provider Inc. for Revenue Claims Management Cycle Services. This notice is not a request for competitive proposals, but interested parties must submit clear and convincing evidence that competition would be advantageous to the Government by February 10, 2026, 9:00 AM MST.
Scope of Work
The intended contract covers Third Party Revenue Clearinghouse services. This includes access to verification of third-party payers, submission of 837 HIPAA claims, and reimbursement management (DDE+, Plus MDE) for Medicare payers.
Contract & Timeline
- Opportunity Type: Special Notice (Notice of Intent to Award Sole Source)
- Intended Awardee: Inovalon Provider Inc.
- NAICS Code: 541519 - Other Computer Related Services (Small Business Size Standard: $34M)
- Product/Service Code: R702 - Data Collection Services
- Period of Performance:
- Base Period: March 1, 2026, to February 28, 2027
- Option Period One: March 1, 2027, to February 29, 2028
- Option Period Two: March 1, 2028, to February 28, 2029
- Option Period Three: March 1, 2029, to February 28, 2030
- Option Period Four: March 1, 2030, to February 28, 2031
- Response Due: February 10, 2026, 9:00 AM MST
- Published Date: January 26, 2026
Evaluation
The Government's market research indicates Inovalon Provider Inc. is the only source capable of providing the required Third Party Revenue Clearinghouse services. This notice is for informational purposes only and does not constitute a solicitation. Responses challenging the sole source intent must provide clear and convincing evidence of competitive advantage to the Government.
Additional Notes
No further awards will be made unless the needs of the Crownpoint Healthcare Facility change. The Government is not obligated to acknowledge receipt of information or provide feedback. If no affirmative written response is received by the deadline, the contract will be issued without further notice.
Primary Point of Contact: Arlynda Largo, Purchasing Agent, Arlynda.largo@ihs.gov.