The Non-Insured Health Benefit (NIHB) Program of the First Nations and Inuit Health Branch (FNIHB) is Health Canada’s largest program. It provides a range of medically necessary health related goods and services not provided through private insurance plans, provincial and territorial insured health, and social or other publicly funded programs to eligible First Nations people and recognized Inuit.
The goal of the HICPS project is to acquire (through procurement), a private contractor to provide the NIHB Program with the services required for the processing and settlement of non-insured health benefit claims, the collection and reporting of health information, the ability to register health benefit providers and supporting the NIHB various benefit pre-authorization, predetermination and exception centers. These services must be able to accommodate and comply with applicable NIHB Program rules and policies including audit, reporting and financial control practices. This includes the effective transition to a new and improved claims processing service contract by December 1, 2019 (or by December 1, 2020 at the latest) and to ensure that services to NIHB clients continue to be offered with no interruption
