Attachment A Schedule 1 Rev Final.docx

DOCX document 20 KB Posted

Attached to
D303--Healthcare Clearinghouse (HCCH) to Support Health Care Electronic Data Interchange (EDI) & paper-based Health claims and associated medical documentation (VA-19-00068629)
Solicitation number
36C10G20Q0003
Issued by

About this file

Written by GovTribe AI ·

This document is a combined synopsis and solicitation for healthcare clearinghouse services to support health care electronic data interchange and paper-based health claims processing for the Department of Veterans Affairs. Services required include processing electronic transactions for eligibility inquiries, claims, payments, attachments and status requests as well as scanning and indexing paper claims. The base period of performance is one year with three additional one-year option periods. Interested vendors must respond by July 6, 2020 with pricing for all contract line items in Attachment A. The Department of Veterans Affairs will award a requirements contract to the responsible vendor providing the best value considering technical capability, past performance, socio-economic status and price. The solicitation is designated as set-aside for small businesses with a NAICS code of 518210 and size standard of $35 million.

View the file

Other files

File Type Posted
36C10G20Q0003 0003 SF 30.docx DOCX document
Amendment A-0003 Question and Answers.docx DOCX document
Attachment H QASP Final.docx DOCX document
36C10G20Q0003 0002 SF 30.docx DOCX document
Amendment A-0002 Question and Answer.pdf PDF
Attachment E Solicitation Provisions Rev.docx DOCX document
Attachment H QASP Rev Final.docx DOCX document
Attachment D PWS Rev Final.docx DOCX document
Attachment C Contract Clauses Rev Final.docx DOCX document
36C10G20Q0003 0001 SF 30.docx DOCX document
Solicitation 36C10G20Q0003 Question and Answers.pdf PDF
Attachment C Contract Clauses .pdf PDF
Attachment A Schedule .pdf PDF
ATTACHMENT F PAST PERFORMANCE REFERENCES.pdf PDF
36C10G20Q0003.pdf PDF
Attachment H QASP.pdf PDF
Attachment E Solicitation Provisions .pdf PDF
ATTACHMENT G PAST PERFORMANCE QUESTIONNARE.pdf PDF
Attachment B Contract Administration .pdf PDF
Attachment D PWS .pdf PDF
Show all 20

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
0001
Health Care Claim
25,324,800.00
EA
__________________
__________________

(includes Institutional, Professional, and Dental) 837 batches transactions (includes acknowledgements) Contract Period: Base POP Begin: 10-01-2020 POP End: 09-30-2021

0002
Health Care Claim
4,770,192.00
EA
__________________
__________________

(includes Institutional and Professional) 837 Medicare Crossover batch transactions (includes acknowledgements) Contract Period: Base

0003
Health Care Claim
15,910,800.00
EA
__________________
__________________

Payment /Advice 835 (includes acknowledgements) for both Medicare Crossover and non-Medicare Crossover batch transactions Contract Period: Base

0004
Health Care
11,009,280.00
EA
__________________
__________________

Eligibility Benefit Inquiry and Response 270/271 (includes acknowledgements) Hosted Real Time transactions Contract Period: Base

0005
Health Care
12,000,000.00
EA
__________________
__________________

Eligibility Benefit Inquiry and Response 270/271 (includes acknowledgements) Direct Real-Time transactions Contract Period: Base

0006
Health Care Claim
6,000,000.00
EA
__________________
__________________

Status Request and Response 276/277/277CA (includes acknowledgements) Hosted Transactions Contract Period: Base

0007
Health Care Claim
0.00
EA
__________________
__________________

Status Request and Response 276/277/277CA (includes acknowledgements) Direct Real-Time transactions Contract Period: Base

0008
Health Care Claim
1.00
EA
__________________
__________________

Status Request and Response 277RFAI Contract Period: Base

0009
Health Care
240,000.00
EA
__________________
__________________

Services Review – Request for Review and Response 278 (includes acknowledgements) Hosted Real-Time transactions Contract Period: Base

0010
Health Care
1.00
EA
__________________
__________________

Services Review - Request for Review and

Direct Real-Time transactions Contract Period: Base

0011
Health Care Claim
4,200,000.00
EA
__________________
__________________

Attachment 275 (includes acknowledgements) Batch Transactions Contract Period: Base

0012
Paper to Electronic
27,768,842.00
EA
__________________
__________________

(P2E) Conversion transactions (837s and 275s)

0013
Rejection Claim
927,744.00
EA
__________________
__________________

plus USPS First class Postage

0014
Small Implementations
20.00
EA
__________________
__________________

(Optional)

0015
Medium Implementations
10.00
EA
__________________
__________________

(Optional)

0016
Large Implementations
5.00
EA
__________________
__________________

(Optional)

1001
Health Care Claim
25,857,280.00
EA
__________________
__________________

(includes Institutional, Professional, and Dental) 837 batches transactions (includes acknowledgements) Contract Period: Option 1 POP Begin: 10-01-2021 POP End: 09-30-2022

1002
Health Care Claim
5,247,211.00
EA
__________________
__________________

(includes Institutional and Professional) 837 Medicare Crossover batch transactions (includes acknowledgements) Contract Period: Option 1

1003
Health Care Claim
17,501,880.00
EA
__________________
__________________

Payment/Advice 835 (includes acknowledgements) for both Medicare Crossover and non-Medicare Crossover batch transactions Contract Period: Option 1

1004
Health Care
12,110,208.00
EA
__________________
__________________

Eligibility Benefit Inquiry and Response 270/271 (includes acknowledgements) Hosted Real Time transactions Contract Period: Option 1

1005
Health Care
13,200,000.00
EA
__________________
__________________

Eligibility Benefit Inquiry and Response 270/271 (includes acknowledgements) Direct Real-Time transactions Contract Period: Option 1

1006
Health Care Claim
6,600,000.00
EA
__________________
__________________

Status Request and Response 276/277/277CA (includes acknowledgements) Hosted Transactions Contract Period: Option 1

1007
Health Care Claim
0.00
EA
__________________
__________________

Status Request and Response 276/277/277CA transactions Contract Period: Option 1

1008
Health Care Claim
1,000.00
EA
__________________
__________________

Status Request and Response 277RFAI Contract Period: Option 1

1009
Health Care Services
264,000.00
EA
__________________
__________________

Review – Request for Review and

Hosted Real-Time transactions Contract Period: Option 1

1010
Health Care Services
1,000.00
EA
__________________
__________________

Review - Request for Review and Response 278 (includes acknowledgements) Direct Real-Time transactions

1011
Health Care Claim
4,620,000.00
EA
__________________
__________________

Attachment 275 (includes acknowledgements)

Contract Period: Option 1

1012
Paper to Electronic
30,545,726.00
EA
__________________
__________________

(P2E) Conversion transactions (837s and 275s) Contract Period: Option 1

1013
Rejection Claim
1,020,518.00
EA
__________________
__________________

plus USPS First class Postage

1014
Small Implementations
20.00
EA
__________________
__________________

(Optional)

1015
Medium Implementations
10.00
EA
__________________
__________________

(Optional)

1016
Large Implementations
5.00
EA
__________________
__________________

(Optional)

2001
Health Care Claim
30,643,008.00
EA
__________________
__________________

(includes Institutional, Professional, and Dental)

Contract Period: Option 2 POP Begin: 10-01-2022 POP End: 09-30-2023

2002
Health Care Claim
5,771,932.32
EA
__________________
__________________

(includes Institutional and Professional)

(includes acknowledgements) Contract Period: Option 2

2003
Health Care Claim
19,252,068.00
EA
__________________
__________________

Payment/Advice 835 (includes acknowledgements) for both Medicare Crossover and non-Medicare Crossover batch transactions Contract Period: Option 2

2004
Health Care Eligibility
13,321,229.00
EA
__________________
__________________

Benefit Inquiry and Response 270/271 (includes acknowledgements) Hosted Real Time transactions Contract Period: Option 2

2005
Health Care Eligibility
14,520,000.00
EA
__________________
__________________

Benefit Inquiry and Response 270/271 (includes acknowledgements) Direct Real-Time transactions Contract Period: Option 2

2006
Health Care Claim
7,260,000.00
EA
__________________
__________________

Status Request and Response 276/277/277CA (includes acknowledgements) Hosted Transactions Contract Period: Option 2

2007
Health Care Claim
0.00
EA
__________________
__________________

Status Request and Response 276/277/277CA transactions Contract Period: Option 2

2008
Health Care Claim
2,000.00
EA
__________________
__________________

Status Request and Response 277RFAI Contract Period: Option 2

2009
Health Care Services Review
290,400.00
EA
__________________
__________________

Request for Review and Response 278 (includes acknowledgements) Hosted Real-Time transactions Contract Period: Option 2

2010
Health Care Services Review
2,000.00
EA
__________________
__________________

Request for Review and Response 278 transactions Contract Period: Option 2

2011
Health Care Claim
5,082,000.00
EA
__________________
__________________

Attachment 275 (includes acknowledgements)

Contract Period: Option 2

2012
Paper to Electronic
33,600,299.00
EA
__________________
__________________

(P2E) Conversion transactions

Contract Period: Option 2

1,122,570.00

__________________
__________________

Rejection Claim plus USPS First class Postage

2014
Small Implementations
20.00
__________________
__________________

(Optional)

2015
Medium Implementations
10.00
__________________
__________________

(Optional)

2016
Large Implementations
5.00
__________________
__________________

(Optional)

3001
Health Care Claim
33,707,309.00
__________________
__________________

(includes Institutional, Professional, and Dental)

Contract Period: Option 3 POP Begin: 10-01-2023 POP End: 09-30-2024

3002
Health Care Claim
6,349,126.00
__________________
__________________

(includes Institutional and Professional)

(includes acknowledgements) Contract Period: Option 3

3003
Health Care Claim Payment/Advice 835
21,177,275.00
__________________
__________________

(includes acknowledgements) for both Medicare Crossover and non-Medicare Crossover batch transactions Contract Period: Option 3

3004
Health Care Eligibility
14,653,352.00
__________________
__________________

Benefit Inquiry and Response 270/271 (includes acknowledgements) Hosted Real Time transactions Contract Period: Option 3

3005
Health Care Eligibility
15,972,000.00
__________________
__________________

Benefit Inquiry and Response 270/271 (includes acknowledgements) Direct Real-Time transactions Contract Period: Option 3

3006
Health Care Claim Status
7,986,000.00
__________________
__________________

Request and Response 276/277/277CA (includes acknowledgements) Hosted Transactions Contract Period: Option 3

3007
Health Care Claim Status
0.00
__________________
__________________

Request and Response 276/277/277CA transactions Contract Period: Option 3

3008
Health Care Claim Status
5,000.00
__________________
__________________

Request and Response 277RFAI Contract Period: Option 3

3009
Health Care Services Review
319,440.00
__________________
__________________

Request for Review and Response 278 (includes acknowledgements) Hosted Real-Time transactions Contract Period: Option 3

3010
Health Care Services Review
5,000.00
__________________
__________________

Request for Review and Response 278 transactions Contract Period: Option 3

3011
Health Care Claim
5,590,200.00
__________________
__________________

Attachment 275 (includes acknowledgements)

Contract Period: Option 3

3012
Paper to Electronic
36,960,328.00
__________________
__________________

(P2E) Conversion transactions

Contract Period: Option 3

3013
Rejection Claim
1,234,827.00
__________________
__________________

plus USPS First class Postage

3014
Small Implementations
20.00
__________________
__________________

(Optional)

3015
Medium Implementations
10.00
__________________
__________________

(Optional)

3016
Large Implementations
5.00
__________________
__________________

(Optional)

GRAND TOTAL
__________________

File details come from the government source that posted it. Updated .