This Government Contract opportunity from Department Of Veterans Affairs was posted on April 16, 2021. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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D399--Health Care Clearing House (HCCH) (#2) Revenue Transactions Processing (RTP) (VA-20-00066700)

Awarded

36C77621D0021Federal

Submission Closed04/15/2021, 12:00:00 AM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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NAICS: 518210

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AI Contract Overview

The Department of Veterans Affairs has awarded an IDIQ contract to a Health Care Clearing House to manage and expand the electronic transmission of incoming and outgoing revenue transactions. Operating under NAICS code 518210, the contractor is responsible for supporting various transaction formats, including HIPAA Healthcare Claims and NCPDP transactions, via both batch and real-time transfers. The primary goal is to increase transaction connectivity, decrease processing times for revenue operations, and ensure full compliance with the Health Insurance Portability and Accountability Act of 1996 Transaction and Code Set regulations across the United States and its territories. The contractor provides essential support for electronic connectivity and assists with the printing of standard claim forms when electronic transmission is not feasible. Additionally, the contractor is required to provide detailed activity reports for reconciliation, auditing, and billing purposes. While the contractor offers technical recommendations, the VHA retains sole authority over policy formulation. This agreement carries a period of performance of 60 months and is managed through the VHA Office of Community Care, Revenue Operations, eBusiness Solutions Office.

General Info

Agency

Department Of Veterans Affairs → Pcac (36C776)

Contract Value

$20,000,000

NAICS

518210 - Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services

Place of Performance

Nashville, TN, 37217, USA

Set-Aside

NONE

Awardee

CHANGE HEALTHCARE HOLDINGS, INC. Nashville TN USA

Award Issued Date

04/15/2021, 12:00:00 AM UTC

Documents

No documents available

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Timeline

PhaseAwarded

PostedApr 16

Award Notice

AwardedApr 15

Contract was awarded

Submission Closed

04/15/2021, 12:00:00 AM UTC

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Organization & Contact Information

AgencyDepartment Of Veterans Affairs → Pcac (36C776)

Contacts1 person available

OfficeINDEPENDENCE, OH, 44131, USA

Organization / AgencyDepartment Of Veterans Affairs → Pcac (36C776)

Office AddressINDEPENDENCE, OH, 44131, USA

Contacts

John SchiffhauerContract Specialist

contact@example.gov

Full Description

As a Health Care Provider, VHA has initiated a number of projects to increase the number of transactions that are completed electronically in order to comply with legislation and to facilitate administrative simplification. The VHA currently utilizes a Contractor to transmit the majority of its incoming and outgoing electronic transactions to and from the national Payer community. VHA routes these transactions through the Department of Veterans Affairs (VA) Financial Services Center (FSC) or other datacenters as specified by the VA prior to transfer to or from the HCCH. Various transaction formats are utilized, such as HIPAA Healthcare Claim (X12N- 5010 837) and National Council for Prescription Drug Program (NCPDP) transactions. VHA transactions are completed as batch and real-time transfers. The Contractor provides reports to VHA on transaction activity for reconciliation, auditing and billing purposes. The Veteran's Health Administration (VHA) Office of Community Care (OCC), Revenue Operations (RO), eBusiness Solutions Office has established a Contract with a Health Care Clearing House (HCCH) to continue to increase transaction connectivity and further decrease processing time for VHA revenue operations. The VHA OCC, as a proponent of administrative simplification, currently exchanges transactions from health care entities to third (3rd) party carriers. The Contractor shall provide support for all of VHA's current electronic transactions across the United States and its territories. The Contractor shall assist the VHA in continuing its mission to implement electronic transactions and to support printing of standard claim forms in certain situations where electronic transmission is not feasible. As such, VHA is required to comply with the Health Insurance Portability and Accountability (HIPPA) Act of 1996 Transaction and Code Set (TCS) regulations. The Contractor shall work with the Program Office (PO) and Contracting Officer Representative (COR) to provide connectivity for incoming and outgoing electronic transactions. At no time shall the Contractor direct, change, or engage in the formulation of VHA policy. The VHA is solely responsible to review the Contractor's recommendations and to make decisions concerning the formulation of policy. The IDIQ requirement was solicted using NAICS code: 518210, The Period of Performance is for 60 Months