R499--Insurance Entry and Verification Services - CPAC [VA-26-00073096]

The Department of Veterans Affairs, through the Regional Procurement Office Central, is soliciting quotations for a Firm-Fixed-Price, Indefinite-Delivery/Indefinite-Quantity contract to provide Insurance Entry and Verification Buffer Support Services. This procurement is a 100 percent set-aside for verified Service-Disabled Veteran-Owned Small Businesses under NAICS code 541611. The primary objective is to support Revenue Operations and Consolidated Patient Account Center locations nationwide by establishing, updating, and verifying third-party insurance information, including Medicare policy actions and reverifications, within authorized VA systems. The contract features a 36-month ordering period with a guaranteed minimum value of 500,000 dollars and a maximum ceiling of 5,499,000 dollars. The contractor is responsible for providing all personnel, management, and resources from a secure work environment, as government workspace will not be provided. Performance is measured against strict quality standards, including a 93 percent on-time completion rate for assigned actions and a 95 percent data-entry accuracy rate. Payment is contingent upon government validation of accurate and properly documented actions, while contractor-caused rejections and non-chargeable exceptions are not billable. Due to the nature of the work, the contractor must adhere to rigorous security and confidentiality requirements regarding the handling of personally identifiable information, protected health information, and other sensitive data. Evaluation of quotes will be based on a total of 2,444,000 estimated actions, consisting of 643,200 reverifications and 1,800,800 new-policy actions.