2026 UB-04 Annual License Fee: Due August 1, 2026; Service Period July 1, 2026 to June 30, 2027…
State & local contract award Virginia Awarded
- Contract number
- PO05376653
- Awardee
- Health Forum
- Contracting organization
- Department of Medical Assistance Services
- Cumulative value
- $12,750
About this award
Health Forum has been awarded a contract by the Virginia Department of Medical Assistance Services under Purchase Order PO05376653, effective June 9, 2026. The prime contractor will deliver the 2026 Uniform Bill-04 (UB-04) Annual License Fee and the 2027 UB-04 Data Set to support the State's healthcare billing and claims processing operations. The deliverable is scheduled for delivery to Antonio Crew, with a service period running from July 1, 2026 through June 30, 2027, and the license fee is due by August 1, 2026.
The contract cumulative value totals $12,750.00 for one unit of the UB-04 licensing and data set delivery. This single line item procurement provides Health Forum compensation for furnishing the standardized billing code set and associated licensing documentation required to maintain compliance with the State's medical assistance program requirements during the specified service period.
Line items
| Item | Total |
|---|---|
| 2026 UB-04 Annual License Fee: Due August 1, 2026; Service Period July 1, 2026 to June 30, 2027: 2027 UB-04 Data Set, effective July1, 2026 | $12,750.00 |
Award details come from logi.cgieva.com. Updated .
Quick answers
Who was awarded contract PO05376653?
Contract PO05376653 was awarded to Health Forum by Department of Medical Assistance Services in Virginia on June 9, 2026.
How much is contract PO05376653 worth?
Its cumulative value is $12,750.
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