Top Small Businesses Recently Awarded Claims-Related Contracts

Within the federal government, claims processing and claims development are crucial areas of support needed from industry partners. Services such as claims support, IT support, data services, and file automation are some of the various areas in which industry partners can assist with these initiatives. Firms interested in supporting future claims-related contracts for these agencies would do well to align with the following vendors.

Sprezzatura Management Consulting: In September 2023, this SDVOSB industry partner was awarded an $18.6M contract from VA to conduct research and analysis on claims automation programs. Sprezzatura Management Consulting offers data analytics, business intelligence, IT services, advisory services, and more solutions. Considering this firm’s notable experience and expertise, it is apparent that Sprezzatura Management Consulting will be well positioned to support claims processing and claims development related contracts in the future.

Strategic Technology Institute (STI): As recently as July 2023, STI was the recipient of a $7.5M contract from DHS Federal Emergency Management Agency (FEMA) to provide reviews and assessments of the claims process, as well as assist with estimating total liability claims. This small business industry partner provides many relevant solutions, including logistics support, project management, testing, systems integration, and IT support among others. Vendors interested in upcoming claims processing and claims development initiatives should keep tabs on STI.

9th Way Insignia: In February 2024, 9th Way Insignia clenched an impressive $61.5M VA contract to provide technical services to support the Enterprise Data Warehouse (EDW), which includes claims processing. This firm is an SDVOSB and offers an array of aligned services, which include enterprise IT, IT modernization and virtualization, data visualization, clinical and administrative support, and more. Industry partners looking to bid on claims processing and claims development contracts should consider aligning with 9th Way Insignia.

Cloud Harbor Economics: Cloud Harbor Economics, an 8(a) industry partner, was awarded an $11M contract from HHS Centers for Medicare and Medicaid Services (CMS), which includes supporting its claims processing systems. This firm provides many relevant solutions, including data analysis and operations, help desk solutions, and file automation among others. Based on this vendor’s experience and expertise, it is clear that Cloud Harbor Economics is well positioned to support upcoming claims processing and claims development efforts.

Flexion: This small business under certain NAICS has recently been awarded a $12.5M contract from HHS CMS in May 2023 to provide modern claim adjudication services. Flexion provides many aligned solutions, including data services, medical claim support, human centered research, and more. Given this vendor’s recent and relevant capabilities, it is undeniable that Flexion will continue to make strides in this federal landscape.

Illumen FWG JV: Illumen FWG JV provides an array of relevant solutions, including IT support, program management, data analytics, operations and maintenance, business intelligence, and more. This small business recently secured a $10.8M award from HHS CMS in June 2023, which is to provide contact center support which includes Medicare claims. Considering this firm’s notable experience and aligned services, it is likely that Illumen FWG JV will be a strong competitor for upcoming claims processing and claims development opportunities.

Softrams: In March 2023, this 8(a) industry partner was awarded a significant $104.6M contract from HHS for IT solution services to support the CMS Innovation Center, which includes leveraging claims data and other metrics. Softrams provides solutions including data support, data analytics, business intelligence, human experience, and more. Firms seeking to support claims processing and claims development contracts should be sure to keep an eye on Softrams.

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Monica Cardona