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This Sources Sought opportunity was posted on October 4, 2019. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Third Party Collections and Billing in support of 75 Military Treatment Facilities (MTF) at both stateside and overseas locations

Closed
FA805219RFI01Federal

Contract Overview

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

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NAICS: 541219
New
SLED
SD State Employee Health Plan Medical Claims Audit
Solicitation # 26RFP19878
The South Dakota Bureau of Human Resources and Administration is soliciting proposals under RFP 26RFP19878 for a vendor to conduct a performance review and medical claims audit of Wellmark Blue Cross Blue Shield of South Dakota. Wellmark administers the State Employee Health Plan, which covers approximately 26,800 participants across four plans, with total health plan costs reaching approximately 160 million dollars in Fiscal Year 2026. The selected auditor will be required to execute a Non-Disclosure Agreement with Wellmark and perform audits for three 12-month periods spanning Fiscal Years 2028 through 2030. The scope of work requires the contractor to perform electronic screening of 100 percent of paid medical claims and a statistical sample of 200 claims per period, adhering to GAGAS standards. Key deliverables include measuring claims processing, payment incidence, and financial accuracy rates, as well as evaluating claims turnaround time and identifying potential savings. Proposals are due by October 23, 2026, and will be evaluated on a 1,000-point scale. The state will negotiate final compensation and terms with the highest-ranked offeror. The resulting contract will incorporate standard state terms and conditions, including specific Bureau of Information and Technology requirements and a minimum of 1 million dollars in commercial general liability insurance.
South Dakota State Government

POSTED

about 15 hours ago

DEADLINE

in 4 days
NAICS: 541219
New
Federal
Request for Information (RFI) – Financial Reporting & Accounting
Solicitation # HHM402-27-X-FRAS
The Virginia Contracting Activity (VaCA) has issued a Sources Sought Notice and Request for Information (RFI) under solicitation HHM402-27-X-FRAS to identify potential sources capable of providing financial accounting and reporting support for the Defense Intelligence Agency (DIA) Office of the Comptroller (CFOCO). The scope of work involves comprehensive general ledger management, transaction validation, account reconciliation, and asset accounting, including depreciation, amortization, and lease accounting. The contractor will be required to utilize the FACTS (Oracle PeopleSoft) system and ensure all outputs, such as Agency Financial Reports and quarterly financial statements, comply with OMB Circular A-136, the DoD Financial Management Regulation, and U.S. Standard General Ledger standards. The anticipated contract structure consists of a 12-month base period followed by four 12-month option periods, with the primary place of performance located at DIA Headquarters in Washington, DC. Due to the nature of the work, personnel must possess TS/SCI clearances with CI Polygraphs. Performance will be monitored via a Quality Assurance Surveillance Plan, with high accuracy thresholds required for financial reporting packages and posting logic. Interested small and large businesses must submit their capability responses, limited to 20 pages, via email to the designated points of contact no later than October 23, 2026, at 4:00 PM ET.
Virginia Contracting Activity

POSTED

4 days ago

DEADLINE

in 3 days

General Info

Agency

N/A

Contract Value

$4,082,859.91

NAICS

541219 - Other Accounting Services

Place of Performance

773 ESS/PK 3515 S. General McMullen, Ste. 200, SAN ANTONIO, TX, 78226-1865, USA

Set-Aside

SBA

Award Issued Date

Documents

0

No documents available

Documents will appear here when they are available.

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Timeline

5 updates
PhaseClosed
Posted

Sources Sought

Notice updated

The notice description changed.

Notice updated

The notice description changed.

Notice updated

The notice description changed.

Notice updated

Notice details unchanged. Attachments may have changed.

Notice updated

Response deadline changed from May 21, 2019 to Oct 10, 2019. The notice description changed.

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyN/A
Contacts1 person available
OfficeN/A
Organization / Agency
N/A
Office AddressN/A
Contacts
Arthur C. MitchellContracting Specialist

Full Description

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Base Notice: Third Party Collections and Billing in support of 75 Military Treatment Facilities (MTF) at both stateside and overseas locations - Amended: FA805219RFI01 - 1.0 Description: - 1.1 The 773d Enterprise Sourcing Squadron (ESS), in support of the Office of the Air Force Surgeon General, is conducting a market survey to determine commercial and industry capabilities and practices, to identify qualified sources, and to solicit comments on the attached Performance Work Statement (PWS). This Request for Information (RFI) is in reference to Third Party Collections and Billing in support of 75 Military Treatment Facilities (MTF) at both stateside and overseas locations (attachment 1, Revised PWS dated: 03 Oct 2019). - 1.2 THIS IS A REQUEST FOR INFORMATION ONLY. This RFI is issued solely for information and planning purposes - it does not constitute a Request for Proposal (RFP) or a promise to issue an RFP in the future. This request for information does not commit the Government to contract for any service whatsoever. Furthermore, the Government is not at this time seeking proposals and will not accept unsolicited proposals. Responders are advised that the Government will not pay for any information or administrative costs incurred in response to this RFI. All costs associated with responding to this RFI will be solely at the interested party's expense. Not responding to this RFI does not preclude participation in a future RFP, if one is issued. If a solicitation is released, it will be synopsized on the Federal Business Opportunities (FedBizOpps) website. It is the responsibility of the potential offeror to monitor FedBizOpps for additional information pertaining to this requirement. - 2.0 Background - 2.1 The Air Force Medical Service is seeking contract support for various medical billing and collection activities in accordance with the attached Performance Work Statement (PWS). - 2.2 A description of the anticipated effort is outlined in the attached PWS. Please be advised this is a draft PWS and is subject to change based on the information received from this RFI. - 2.3 Delivery Period: One (1) Base Year contract plus four (4) Option Years beginning in or around September 2020. - 2.4 Security Requirements: As defined in the PWS. - 3.0 Requested Information - 3.1 Performance Metrics: 3.1.2 What is the length of time has your company had with technical hands-on use of Government Billing Solution (GBS) in a Medical Treatment Facility (MTF)? What is your company's experience with Medical billing, collection activities, denial management, payment posting, and refund services within the Medical Health Services (MHS) environment? 3.1.3 What is your company's understanding of MHS Uniform Business Office (UBO) policies and practices when performing billing and collections on behalf of MHS medical facilities? 3.1.4 Explain how your company will acquire additional training resources that supplement Government training on GBS. How will your company administer continuous training on GBS for additional employees beyond the initial government training and for new employees either in the field or at the central hub locations? - 3.2 Do you have any additional comments or suggestions to improve the attached PWS? Are there any areas that are unclear? - 4.0 Responses - 4.1 Interested parties are requested to respond to this RFI with a white paper. - 4.2 White papers in Microsoft Word for Office 2016 or compatible format are due no later than 10 Oct 2019 at 12:00PM San Antonio time CST. Responses shall be limited to 10 pages for Section 2 and submitted via e-mail only to arthur.mitchell@us.af.mil. You may call Mr. Arthur C. Mitchell at (210) 395-9826 and verify receipt of your submission. Proprietary information, if any, should be minimized and MUST BE CLEARLY IDENTIFIED. To aid the Government, please segregate proprietary information. Please be advised that all submissions become Government property and will not be returned, nor will any costs associated with the preparation or submission of your response be reimbursed. - 4.3. Section 1 of the white paper shall provide administrative information, and shall include the following as a minimum: - 4.3.1. Name, mailing address, phone number, fax number, and e-mail of designated point of contact. - 4.3.2. Business type (small business, small disadvantaged business, 8(a)-certified small disadvantaged business, HUBZone small business, woman-owned small business, very small business, veteran- owned small business, service-disabled veteran-owned small business) based upon North American Industry Classification System (NAICS) code 541219, Other Accounting Services. Standards and conditions apply. Please refer to Federal Acquisition Regulation FAR 19 for detailed information on Small Business Size Standards. The FAR is available at http://farsite.hill.af.mil. - 4.4. The number of pages in Section 1 of the white paper shall not be included in the 10 page limitation, i.e., the 10 page limitation applies only to Section 2 of the white paper. - 4.5. Section 2 of the white paper shall answer the issues addressed in Section 3 of this RFI and shall be limited to 10 pages. 5.0 Questions Questions regarding this announcement shall be submitted in writing via e-mail to the contract administrator, Mr. Arthur C. Mitchell e-mail:, arthur.mitchell@us.af.mil. Verbal questions will NOT be accepted. Questions will be answered and provided to all interested vendors via email; and posted to FedBizOpps website accordingly, questions shall NOT contain proprietary or classified information. The Government does not guarantee that questions received after 10 Oct 2019 at 12:00 PM CST will be answered. Interested parties are invited to subscribe to the FedBizOpps website, located at https://www.fbo.gov, to ensure they receive any updated information concerning this RFI at the appropriate time. 6.0 Summary and Applicable Clauses REQUEST FOR INFORMATION (RFI) ONLY to seek industry's knowledge about, and identify sources for, providing Third Party Collection services. The information provided in this RFI is subject to change and is not binding on the Government. The Government has not made a commitment to procure any of the items discussed, and release of this RFI should not be construed as such a commitment or as authorization to incur cost for which reimbursement would be required or sought. All submissions become Government property and will not be returned. Pursuant to FAR 52.215-3, your attention is required to the following provision: REQUEST FOR INFORMATION OR SOLICITATION FOR PLANNING PURPOSES (OCT 1997) (a) The Government does not intend to award a contract on the basis of this request for information or to otherwise pay for the information solicited except as an allowable cost under other contracts as provided in subsection FAR 31.205-18, Bid and proposal costs, of the Federal Acquisition Regulation. (b) Although "proposal" and "offeror" are used in this RFI, your response will be treated as information only. It shall not be used as a proposal. (c) This request for information is issued for the purpose of gathering information regarding the medical billing industry and to request comments on the attached DRAFT Performance Work Statement. Comments received may be used to review and revise the DRAFT Performance Work Statement when developing the final forthcoming Solicitation. Attachment 1: Revised Draft: Performance Work Statement (PWS) dated: 03 October 2019 Primary Point of Contact: Arthur C. Mitchell Contracting Specialist arthur.mitchell@us.af.mil Phone: (210) 395-9826 Contracting Office Address: 773 ESS/PK 3515 S. General McMullen, Ste. 200 San Antonio, TX 78226-1865

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