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Outpatient Medical Claims Billing Services

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Federal

Contract Overview

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

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The contract requires the vendor to process between 250,000 and 350,000 outpatient medical claims each month for both VA and Non-VA care, with a primary focus on billing third-party insurers for Non-Service Connected conditions. All claims must be handled using the VA’s legacy VistA system, a DOS-based platform, necessitating specialized technical expertise and compatibility with outdated infrastructure. The work involves accurate and timely submission of claims to ensure proper reimbursement and compliance with federal healthcare billing standards. This subcontract, issued by the Department of Veterans Affairs under NAICS code 621991, is open for proposal with a submission deadline of July 20, 2026, and is not subject to any formal set-aside provisions. Performance is expected to occur wherever the contractor's operations are established, with no specific location mandated by the contract.

General Info

Process 250K–350K monthly VA and Non-VA claims via VistA for third-party billing, compliance required.

Agency

Department Of Veterans Affairs → Pcac (36C776)View Agency

NAICS

621991 - Blood and Organ BanksView NAICS

Place of Performance

OH

Set-Aside

NONE

Documents

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No documents available

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Organization & Contact Information

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AgencyDepartment Of Veterans Affairs → Pcac (36C776)
ContactsNo contacts available
OfficeN/A
Organization / Agency
Department Of Veterans Affairs → Pcac (36C776)
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Office AddressN/A
ContactsNo contact information available

Full Description

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Process 250,000–350,000 outpatient medical claims monthly for VA and Non-VA care, including billing third-party insurers for Non-Service Connected (NSC) conditions using VA’s legacy VistA (DOS-based) system.

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