National Government Services

What National Government Services does

National Government Services, Inc. (NGS), now operating as Wellpoint Federal, is a private Indianapolis-headquartered federal healthcare contractor founded in 1966 and operating as a wholly owned subsidiary of Elevance Health (formerly Anthem). The company's primary function is serving as a Medicare Administrative Contractor (MAC) for the Centers for Medicare & Medicaid Services (CMS), with exclusive jurisdiction for Medicare Part A and Part B claims processing across the JK and J6 regions spanning 20 states and 5 U.S. territories. In this capacity NGS processes over 228 million Medicare claims annually, serves more than 450,000 providers, and administers coverage for nearly 27 million Medicare beneficiaries, while also operating customer care technology that handles over 100 million inquiries per year.

The company is built around a proprietary technology stack anchored by NGSConnex, a self-service provider portal; the Next Generation Desktop (NGD), a CMMI Level 5-appraised CRM platform with capacity for over one million monthly inquiries; the Common Electronic Data Interchange (CEDI), which processes over one million transactions daily at 99% uptime and under 1% rejection rate; and the Virtual Data Center Infrastructure Enterprise Services (VIES). This infrastructure operates out of an Uptime Institute Tier IV Certified Data Center with FISMA High, NIST, NSA, and DISA compliance. NGS also layers fraud detection systems that monitor over 6 million claims daily using auto-detection and predictive modeling.

NGS generates revenue through long-term government contracts awarded by CMS for MAC services and through federal health IT professional services delivered via GSA MAS, OASIS+, SPARC, and PEO contract vehicles. Pricing is not publicly disclosed; services are sold to federal agencies on a contract basis with pre-negotiated terms. The company markets through industry associations (ACT-IAC, HIMSS, CGP, G2Xchange), thought leadership content, contract vehicle listings, and a steady cadence of industry awards. In 2025, NGS began a corporate rebranding to Wellpoint Federal (with a parallel Wellpoint FederalX brand) to align identity with parent Elevance Health.

Name

National Government Services

Legal name

National Government Services, Inc.

Website

https://ngsservices.com

Company type

Private

Founded year

1966

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

National Government Services, operating as Wellpoint Federal, is an Indianapolis-based subsidiary of Elevance Health that serves as a CMS Medicare Administrative Contractor, processing over 228 million annual Medicare claims for 450,000+ providers and 27 million beneficiaries across 20 states and 5 U.S. territories.

Ownership category

akta.pro rank

Product category

Federal Healthcare Administration Services

NAICS

Administration of Public Health Programs (923120), Other General Government Support (92119)

SIC

Hospital & Medical Service Plans (6324), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO)

akta.pro secondary industries

Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

• Medicare claims processing
• Federal health IT
• Provider enrollment services
• Program administration
• Healthcare data integration

Headquarters

HQ city

Indianapolis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Infrastructure, Operations, Marketing or Sales, Others

Revenue model

1. Medicare Administrative Contractor Services: As a Medicare Administrative Contractor (MAC) awarded by CMS, National Government Services processes Medicare claims and provides administrative services for federal healthcare programs. Revenue is generated through contractual arrangements with CMS for administering Medicare Part A and Part B programs across designated jurisdictions.
2. Federal Health IT Services: Provides IT professional services, management consulting, and program administration to federal health agencies through contract vehicles including GSA MAS, OASIS+, SPARC, and PEO contracts.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels4 records

Core offering

National Government Services operates as a CMS-awarded Medicare Administrative Contractor that processes over 228 million Medicare Part A and Part B claims annually, serving 450,000+ providers and 27 million beneficiaries across 20 states and five U.S. territories. The company delivers federal healthcare IT and business process solutions including proprietary provider portals, electronic data interchange, fraud detection, and program administration services to federal health agencies.

Product overview

National Government Services offers a unified portfolio of federal healthcare administrative services centered on its proprietary NGSConnex provider portal and EDI transaction processing infrastructure. The company operates as a Medicare Administrative Contractor delivering Digital Health solutions (Security, Data Management, Integration) and Business Process Solutions (Claims Processing, Provider Burden Reduction, Program Administration, End-to-End Financial Accuracy, Beneficiary Engagement) as integrated service modules under a single operational umbrella. Core infrastructure includes a Uptime Institute Tier IV Certified Data Center and an authentication directory serving over 28 million users. The portfolio serves federal health agencies with claims processing for 228 million claims annually across 450,000 providers and 27 million Medicare beneficiaries.

Differentiator

Problem solved

Functional benefit

Products and services

• NGSConnex Proprietary self-service provider website enabling Medicare providers to manage claims, submit appeals, access enrollment tools, and process inquiries. Described as one of the best websites by CMS for its up-to-date information and ease of use.
• Electronic Data Interchange (EDI) Solutions Electronic data interchange solution supporting over a million Medicare transactions daily with 99% uptime and less than 1% rejection rate.
• Customer Care Technology Technology platform capable of processing over 100 million inquiries per year for beneficiary and provider support, backed by an authentication directory serving 28M+ users.
• Medicare Administrative Contractor (MAC) Services End-to-end Medicare Part A and Part B claims processing and program administration awarded by CMS, serving federal health agencies across designated jurisdictions covering 20 states and five U.S. territories.
• Provider Enrollment and Oversight (PEO) Services Provider enrollment and screening services for Medicare and Medicaid fraud prevention delivered to CMS under the PEO contract.
• Federal Health IT Modernization Services Professional services covering digital modernization, security, data management, and integration for federal health agencies, delivered through GSA MAS, OASIS+, and SPARC contract vehicles.

Quantifiable outcome

• 228 Million Claims Processed Annually
• +5 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Six partnerships are on record, tiered core and minor.

• General Services Administration (GSA)coreStrategic or Co-development PartnerNGS holds multiple GSA contract vehicles including GSA Multiple Award Schedule (MAS) and OASIS+ Multi-Agency Contract, enabling delivery of IT professional services, cybersecurity, and business solutions to federal agencies.
• Centers for Medicare & Medicaid Services (CMS)coreStrategic or Co-development PartnerAs a CMS-awarded Medicare Administrative Contractor (MAC), NGS administers Medicare Part A and Part B programs in designated jurisdictions. Also holds SPARC and PEO contracts for CMS modernization and provider enrollment.
• ACT-IACminorStrategic or Co-development PartnerNGS maintains corporate membership in ACT-IAC (American Council for Technology-Industry Advisory Council) to engage with industry and government leaders on federal technology initiatives.
• HIMSSminorStrategic or Co-development PartnerNGS holds HIMSS Emerald Member status, supporting engagement with healthcare IT industry leaders and advancing health technology standards.
• CGP (Center for Government Procurement)minorStrategic or Co-development PartnerCorporate membership in CGP provides platform to engage with industry leaders on government procurement issues and foster commitment to federal healthcare solutions.
• G2XchangeminorStrategic or Co-development PartnerG2X membership enables engagement with health technology community and federal health stakeholders for collaboration and innovation.

Scale indicators11 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• Booz Allen Hamilton: Booz Allen provides federal health consulting and IT services to CMS and HHS. It competes with NGS for federal health IT modernization, data analytics, and program administration contracts across multiple contract vehicles.
• ICF International: ICF provides IT modernization, analytics, and program support to federal health agencies including CMS and HHS. It competes with NGS on federal health IT services and digital modernization task orders.
• Maximus: Maximus is a large federal health and human services contractor that operates Medicare appeals, contact centers, and program administration work for CMS. While not a direct MAC, it competes with NGS on adjacent federal health BPO and contact center contracts.
• Leidos: Leidos is a major federal health IT contractor supporting CMS, including systems integration and program management. It competes with NGS for federal health IT modernization contracts via OASIS+ and similar vehicles.
• CGI Federal: CGI Federal is a large IT services contractor serving federal health agencies, including CMS work on systems integration and digital services. It competes with NGS on federal health IT modernization opportunities.

Direct peers

• Noridian Healthcare Solutions: Noridian is a CMS Medicare Administrative Contractor serving multiple jurisdictions including Jurisdiction E, F, and others. Like NGS, it processes Medicare claims, manages provider enrollment, and serves beneficiaries across designated regions.
• WPS Health Solutions: WPS Health Solutions operates as a Medicare Administrative Contractor (Jurisdiction 5 and 8) and is a direct competitor to NGS in federal Medicare claims administration. It also offers commercial health plan administration.
• CGS Administrators: CGS is a Medicare Administrative Contractor and a subsidiary of BlueCross BlueShield of South Carolina, processing Medicare Part A and Part B claims in Jurisdiction 15 (Kentucky/Ohio) and Jurisdiction 65 (South Carolina). It directly competes with NGS for MAC contracts.
• Palmetto GBA: A division of BlueCross BlueShield of South Carolina, Palmetto GBA is another CMS-awarded Medicare Administrative Contractor processing Part A and Part B claims in multiple jurisdictions. It is a direct competitor to NGS in the federal Medicare claims processing space.
• Novitas Solutions: Novitas Solutions is a Medicare Administrative Contractor serving Jurisdictions L and H, processing Medicare Part A and Part B claims. It competes directly with NGS for MAC contracts and federal health administration work.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/national-government-services
• Xx.com/natgovservices

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about National Government Services