HIPAA-Compliant Billing and Claims Processing

This contract focuses on providing comprehensive management of end-to-end billing for Veterans Affairs (VA) services, utilizing multiple standard formats including UB-04, CMS-1500, and ANSI X12 837 electronic claims. The services encompass the submission of claims, ensuring timely adjudication, and maintaining preparedness for audits, all while strictly adhering to HIPAA compliance regulations. The contract supports efficient and accurate billing processes needed to ensure proper reimbursement and regulatory alignment for healthcare services rendered to veterans. The subcontract is associated with the Department of Veterans Affairs through the 257-NETWORK Contract Office 17 (36C257) and falls under the NAICS code 561410, which relates to office administrative services. The place of performance for the work is designated as Waco, ZIP code 76712. While there is no specified solicitation number or designated set-aside type, the contract’s purpose is clearly defined to streamline claims processing for VA healthcare providers, facilitating secure and standardized billing operations to enhance financial management and compliance within the VA healthcare system.