DA10--Payment Integrity Validation and Oversight Tool (PIVOT) (VA-26-00015670) RFI LoopBack

The Department of Veterans Affairs is seeking market research through a Request for Information (RFI) for the Payment Integrity Validation and Oversight Tool (PIVOT), designated under solicitation number 36C10B26Q0121 and product service code DA10, aimed at developing a SaaS-based solution to automate the detection and prevention of improper payments in VA Community Care healthcare claims. The tool is designed to leverage advanced analytics, artificial intelligence, and machine learning to analyze claims data including 837P, 837I, 837D, NCPDP, and 835 remittance advice, identifying fraud, waste, and abuse trends by executing VA and CMS compliance rules at scale across sandbox, testing, pre-production, and production environments. Key capabilities include a robust rules engine, pattern recognition and anomaly detection, data ingestion and management, workload module functionality, and comprehensive dashboards for auditors, analysts, supervisors, and administrators, with a baseline support for 100 concurrent users and scalability for future growth. The solution must meet stringent VA and federal security standards, including Section 508 accessibility compliance, and must be deployable without re-architecture to support iterative enhancements. Respondents are required to submit a two-page narrative, a two-page technical description, and a PowerPoint presentation detailing their solution’s alignment with the Performance Work Statement draft, with no marketing materials or generic capability statements permitted. All submissions are due by February 6, 2026, alongside a mandatory Notice of Intent to participate by January 23, 2026. The contractor must be permanently based within a U.S. jurisdiction and adhere to all VA information safeguarding requirements, including limiting access to sensitive data and training personnel on nondisclosure obligations. The system must be protected behind a VA-compliant firewall, and all personnel with access to VA systems must hold appropriate security clearances and comply with NISPOM, VA Directive 0710, and HSPD-12 procedures for PIV credential usage. The contract, if awarded, will be on a Firm Fixed Price basis with a base performance period of 12 months and four additional 12-month option periods, not to exceed 60 months total. Vendors must include all estimated travel costs for up to two annual trips to Washington, D.C., and Denver, CO, in their fixed price proposals, with no direct reimbursement. The Minimum Viable Product must successfully process VA claims end-to