CHANGE HEALTHCARE OPERATIONS, LLC

CLEARING HOUSE FOR INSURANCE 3RD PARTY BILLING TO SUBMIT PHARMACEUTICAL CLAIMS ELECTRONICALLY FROM IHS SOFTWARE RPMS. CARD FINDER SERVCIES TO ALLOW PHARCAY TO OBTAIN PATIENT'S INSURANCE INFORMATION TO BILL FOR PRESCRIPTIONS.

ERX CONNECT

EDI P2E SERVICES

MOD P00005 - TO OBLIGATE ADDITIONAL FUNDS FOR POP 10/01/2024 TO 09/30/2025/SEPTEMBER 2025 INVOICE.

CLOSE-OUT

3RD PARTY BILLING & CLEARINGHOUSE SERVICES FOR THE BUSINESS OFFICE AT QUENTIN N BURDICK MEMORIAL HEALTH CARE FACILITY IN BELCOURT, ND

PHARMACY CLAIMS SWITCHING & LINE CARD/PHARMACY BENEFIT ELIGIBILITY VERIFICATION

SWITCHING SERVICES AT ELKO SERVICE UNIT.

MOD P00004 - TO DEOBLIGATE LINE ITEM #13 ONLY.

MODIFICATION 6 - THIRD PARTY REVENUE CYCLE MANAGEMENT SOLUTIONS, ADD ADDITIONAL LINE ITEM

RPA ELIGIBILITY & BENEFITS - ASU

CALL FOR PHARMACY SWITCHING SERVICES AT CATAWBA SERVICE UNIT, MASHPEE SERVICE UNIT, MONACAN SERVICE UNIT, AND MID-ATLANTIC SERVICE UNIT.

REVENUE TRANSACTION SUPPORT SERVICES.

EDI P2E SERVICES

MOD P00007 - DE-OBLIGATE EXCESS FUNDING FROM THE AWARD.

PHARMACY SWITCHING SERVICES - ASU

RPA ELIGIBILITY & CLAIMS - ASU

MOD P00006 - TO EXERCISE OY FOUR ON AWARD TO PROVIDE TRANSMISSION OF ELECTRONIC POINT OF SALE OF PRESCRIPTION CLAIMS AT THE SANTA FE SERVICE UNIT.

MODIFICATION 4 - THIRD PARTY REVENUE CYCLE MANAGEMENT SOLUTIONS, EXTEND SERVICES FOR 6 MONTHS AND ADD ADDITIONAL FUNDING.

FIRM FIXED-PRICE, NON-PERSONAL HEALTHCARE SERVICE, COMMERCIAL ITEM, PO AGAINST AWARDED CONTRACT 75H70625F80035 POINT-OF-SALE INSURANCE BILLING FROM THE PHARMACY DEPARTMENT. INDIAN HEALTH SERVICE HOSPITAL, FORT YATES NORTH DAKOTA AND MCLAUGHLIN CLINIC

CLEARINGHOUSE FOR INSURANCE THIRD PARTY BILLING TO SUBMIT PHARMACUETICAL CLAIMS ELECTRONICALLY FROM IHS'S SOFTWARE RPMS.. CARD FINDER SERVICES TO ALLOW PHARMACY TO OBTAIN PATIENT'S INSURANCE INFORMATION TO BILL FOR PRESCRIPTIONS.

MOD P6 - EXERCISE FINAL OY #4 AND CANCEL SERVICES FOR THIRD PARTY INSURANCE VERIFICATION.

MOD. TWO (2): EXERCISE OY 2 FOR PHARMACY CLAIMS SWITCHING SERVICES FOR THE PHARMACY LOCATIONS AT IHS PINE RIDGE HOSPITAL, KYLE HEALTH CENTER, WANBLEE HEALTH CENTER, AND LACREEK CLINIC. POP: 06/10/2025 - 06/09/2026. THIS IS A BASE PLUS FOUR ONE-YEAR

DE-OB AND CLOSE - CHANGE HEALTHCARE SWITCH SERVICES FOR THE LAWTON INDIAN HOSPITAL PHARMACY

EDI P2E SERVICES

OPTION PERIOD IV - PHARMACY ELECTRONIC BILLING SERVICES

MOD THREE (3) TO EXERCISE OPTION YEAR TWO (2) REVENUE PERFORMANCE ADVISOR PROCESSING SERVICES FOR PINE RIDGE SERVICE UNIT, P.O.P 6-10-2025 TO 6-9-2026 COR: SARA LOUT (IHS1512559)

OPTION PERIOD IV - MEDICAL ELECTRONIC BILLING SERVICES

EXERCISE OPTION PERIOD III - PRIVATE INSURANCE ELIGIBILITY SOLUTION

FAR 4.804 DE-OBLIGATE EXCESS FUNDS AND ADMINISTRATIVELY CLOSEOUT CONTRACT

MOD 01: TWO MONTH EXTENSION BAIHS AW PHARMACY CLAIM ELIGIBILITY/VERIFICATION PROCESSING SERVICES BASE OBLIGATED AMOUNT: $31,000.00 MOD 01 OBLIGATED AMOUNT: $4,670.00 AGGREGATE OBLIGATED AMOUNT: $35,670.00

DE-OB AND CLOSE - KONICA MINOLTA LEASE AGREEMENT FOR THE LAWTON INDIAN HOSPITAL

RFM TO EXECUTE OPTION YEAR TWO (2), FOR RX BILLING SERVICES FOR THE YAKAMA INDIAN HEALTH CLINIC BUSINESS OFFICES.

TO DE-OBLIGATE EXCESS FUNDS

REVENUE TRANSACTION SUPPORT SERVICES.

TO DE-OBLIGATE EXCESS FUNDS

TO DE-OBLIGATE EXCESS FUNDS

DE-OBLIGATE LINES 4 & 7 - ASU

MOD TO EXERCISE OPTION YEAR- PHARMACY - CLAIMS SWITCHING AND CARDFINDER SERVICES EXERCISE OPTION YEAR 1 POP 05/01/2024 - 04/30/2025

DE-OB AND CLOSE - PHARMACEUTICAL SWITCHING SERVICES FOR CLINTON, EL RENO AND WATONGA INDIAN HEALTH CENTER.

MODIFICATION NO. P0003 - EXTEND MEDICAL AUTOMATED BILLING FOR THE WESU UNTIL 09/30/2025.

CLEARINGHOUSE FOR INSURANCE THIRD PARTY BILLING TO SUBMIT PHARMACUETICAL CLAIMS ELECTRONICALLY FROM IHS'S SOFTWARE RPMS.. CARD FINDER SERVICES TO ALLOW PHARMACY TO OBTAIN PATIENT'S INSURANCE INFORMATION TO BILL FOR PRESCRIPTIONS.

DE-OB AND CLOSE - SWITCHING AND CARD FINDER SERVICES FOR PAWNEE IHC.

DE-OB AND CLOSE - PHARMACY CLAIMS SWITCHING SERVICE PAWNEE.

PHARMACY CLAIMS SWITCHING AND BENEFIT ELIGIBILITY VERIFICATION SERVICES - PIMC

CSU FY 2024 CH-BUSINESS OFFICE - PRIORITY C

EXERCISE OF OPTION YEAR TWO MEDICAL CLAIMS (ASSURANCE) ELECTRONIC BILLING SERVICES IN ACCORDANCE WITH THE ATTACHED STATEMENT OF WORK.

REVENUE TRANSACTION SUPPORT SERVICES.

BILLING MANAGEMENT IN THE THIRD PARTY RPMS SYSTEM AT WELLPINIT SERVICE UNIT (WESU).

POINT OF SALE SWITCH SERVICES FOR PHARMACY CLAIMS