Specifications include, but are not limited to: 3.1.1. The selected Vendor must process reimbursement claims on a monthly basis. The estimated number of claims by insurance type per month are approximately: 3.1.1.1. Medicare A: 150 claims. 3.1.1.2. Medicare B: 150 claims. 3.1.1.3. Commercial insurers: 100 claims. 3.1.1.4. Medicaid and Managed Care Organizations (MCOs): 100 claims. 3.1.2. The selected Vendor must provide Clearing House Services that include, but are not limited to: 3.1.2.1. Accepting both 837I and 837P claims files from myAvatar (NHH’s Electronic Health Record) and forwarding them to appropriate insurance providers. 3.1.2.2. Accepting and processing 835 remittance files (Electronic Remittance Advice) from insurance companies and transmitting them to NHH. 3.1.2.3. Adding or removing payers to and from the system