| | EO 14398 FBSU CLAIMS MANAGEMENT SERVICE | TYRULA, LLC | $18,859 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 541512Computer Systems Design Services | DA10IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICE | May 20, 2026 | May 20, 2026 | Sep 30, 2026 |
| | (AOIS) ADMINISTRATIVE OPERATIONS INFORMATION SYSTEM TASK ORDER 6. | TYRULA, LLC | $1,033,018 | FOOD AND DRUG ADMINISTRATION | FOOD AND DRUG ADMINISTRATION | — | 541512Computer Systems Design Services | DC10IT AND TELECOM - DATA CENTER AS A SERVICE | Sep 29, 2025 | Sep 29, 2025 | Jul 29, 2026 |
| | 08/01/2025 -07/31/2026 OPTION YEAR 2 AREA WIDE MEDICAL BILLING CLEARINGHOUSE SERVICES | TYRULA, LLC | $300,000 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services | Q601MEDICAL CODING AND AUDITING | Jul 10, 2025 | Jul 10, 2025 | Jul 31, 2028 |
| | (AOIS) ADMINISTRATIVE OPERATIONS INFORMATION SYSTEM TASK ORDER 5. | TYRULA, LLC | $1,788,186 | FOOD AND DRUG ADMINISTRATION | FOOD AND DRUG ADMINISTRATION | — | 541512Computer Systems Design Services | DC10IT AND TELECOM - DATA CENTER AS A SERVICE | Sep 16, 2024 | Sep 16, 2024 | Sep 15, 2025 |
| | CLSU MEDICAL BILLING CLEARINGHOUSE SERVICES | TYRULA, LLC | $52,727 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services | Q601MEDICAL CODING AND AUDITING | Aug 9, 2024 | Aug 1, 2024 | Jul 31, 2025 |
| | MEDICAL BILLING CLEARINGHOUSE SERVICES | TYRULA, LLC | $52,727 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services | Q601MEDICAL CODING AND AUDITING | Aug 9, 2024 | Aug 1, 2024 | Jul 31, 2025 |
| | RED LAKE SERVICE UNIT MEDICAL BILLING CLEARINGHOUSE SERVICES | TYRULA, LLC | $48,075 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services | Q601MEDICAL CODING AND AUDITING | Aug 9, 2024 | Aug 1, 2024 | Jul 31, 2025 |
| | (AOIS) ADMINISTRATIVE OPERATIONS INFORMATION SYSTEM TASK ORDER 4. | TYRULA, LLC | $2,975,539 | FOOD AND DRUG ADMINISTRATION | FOOD AND DRUG ADMINISTRATION | — | 541512Computer Systems Design Services | DC10IT AND TELECOM - DATA CENTER AS A SERVICE | Sep 15, 2023 | Sep 15, 2023 | Sep 15, 2024 |
| | WHITE EARTH HEALTH CENTER MEDICAL BILLING CLEARINGHOUSE SERVICES | TYRULA, LLC | $32,283 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services | Q601MEDICAL CODING AND AUDITING | Aug 1, 2023 | Jul 31, 2023 | Jul 31, 2024 |
| | RED LAKE SERVICE UNIT MEDICAL BILLING CLEARINGHOUSE SERVICES | TYRULA, LLC | $29,435 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services | Q601MEDICAL CODING AND AUDITING | Aug 1, 2023 | Jul 31, 2023 | Jul 31, 2024 |
| | CLSU MEDICAL BILLING CLEARINGHOUSE SERVICES | TYRULA, LLC | $32,283 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services | Q601MEDICAL CODING AND AUDITING | Aug 1, 2023 | Jul 31, 2023 | Jul 31, 2024 |
| | AGILE USABILITY EXPERIENCE ANALYSIS | TYRULA, LLC | $3,427,891 | CENTERS FOR MEDICARE AND MEDICAID SERVICES | CENTERS FOR MEDICARE AND MEDICAID SERVICES | — | 541990All Other Professional, Scientific, and Technical Services | R499SUPPORT- PROFESSIONAL: OTHER | Jul 31, 2023 | Jul 31, 2023 | Jul 31, 2026 |
| | ELECTRONIC CLAIMS AND ELIGIBILITY VERIFICATION SERVICE BASE + 4 OPTION YEARS FOR SISSETON SU | TYRULA, LLC | $19,904 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 522320Financial Transactions Processing, Reserve, and Clearinghouse Activities | DA10IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SOFTWARE AS A SERVICE | May 22, 2023 | May 22, 2023 | May 31, 2028 |
| | PATIENT FINANCIAL COUNSELING SERVICES | TYRULA, LLC | $2,189,616 | DEPT OF THE ARMY | DEFENSE HEALTH AGENCY (DHA) | — | 541611Administrative Management and General Management Consulting Services | R499SUPPORT- PROFESSIONAL: OTHER | Mar 23, 2023 | Apr 1, 2023 | Dec 15, 2023 |
| | CDER-ADMINISTRATIVE OPERATIONS INFORMATION SYSTEM (AOIS) BLANKET PURCHASE AGREEMENT (BPA) TASK ORDER NO. 2 | TYRULA, LLC | $1,689,965 | FOOD AND DRUG ADMINISTRATION | FOOD AND DRUG ADMINISTRATION | — | 541512Computer Systems Design Services | DC10IT AND TELECOM - DATA CENTER AS A SERVICE | Sep 14, 2022 | Sep 14, 2022 | Sep 15, 2023 |
| | CENTER FOR DRUG EVALUATION AND RESEARCH (CDER) ADMINISTRATIVE OPERATIONS INFORMATION SYSTEM (AOIS) TASK ORDER 3. | TYRULA, LLC | $2,816,671 | FOOD AND DRUG ADMINISTRATION | FOOD AND DRUG ADMINISTRATION | — | 541512Computer Systems Design Services | DC10IT AND TELECOM - DATA CENTER AS A SERVICE | Sep 6, 2022 | Sep 8, 2022 | Sep 15, 2023 |
| | CENTER FOR DRUG EVALUATION AND RESEARCH (CDER) ADMINISTRATIVE OPERATIONS INFORMATION SYSTEM (AOIS) TASK ORDER | TYRULA, LLC | $1,749,802 | FOOD AND DRUG ADMINISTRATION | FOOD AND DRUG ADMINISTRATION | — | 541512Computer Systems Design Services | DC10IT AND TELECOM - DATA CENTER AS A SERVICE | Sep 29, 2021 | Sep 29, 2021 | Sep 29, 2022 |
| | ELIGIBILITY AND CLAIMS FOR OCAO IHS | TYRULA, LLC | $527,905 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 811213 | R799SUPPORT- MANAGEMENT: OTHER | Jul 26, 2021 | Jul 23, 2021 | Dec 31, 2026 |
| | SECURE DATE EXCHANGE AND CLEARINGHOUSE SERVICES - OCAO | TYRULA, LLC | $47,000 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 811213 | R799SUPPORT- MANAGEMENT: OTHER | May 27, 2021 | May 26, 2021 | Jun 30, 2026 |
| | BASE YEAR OF FIVE (5) FOR CLEARINGHOUSE&ELIGIBILITY VERIFICATION SERVICES AT WRSU. ESTIMATED TOTAL FOR BASE YEAR IS $18,000.00. | TYRULA, LLC | $76,000 | INDIAN HEALTH SERVICE | INDIAN HEALTH SERVICE | — | 518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services | Q701SPECIALIZED MEDICAL SUPPORT | Oct 1, 2020 | Oct 1, 2020 | Sep 30, 2025 |