Amendment 0001 Solicitation 36C10G23R0004 VA HCCH EDIP2E Services .pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 3

36C10G

U.S. Department of Veterans Affairs

OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400

Fredericksburg VA 22408-2697

36C10G

U.S. Department of Veterans Affairs

OPAL | Strategic Acquisition Center

10300 Spotsylvania Ave | STE 400

Fredericksburg VA 22408-2697

To all Offerors/Bidders

36C10G23R0004

01-18-2023

X

X X

X 1

The purpose of Amendment 0001 solicitation 36C10G23R0004 is to provide answers to questions submitted by offerors.

This amendment incorporates changes to Attachment A Performance Work Statement based on the questions received.

This amendment incorporates changes to Attachment B Pricing based on the questions received.

This amendment incorporates Attachment E Quality Assurance Surveillance Plan into the solicitation

The proposal due date February 17, 2023, at 3:00pm Eastern remains unchanged

See the Continuation page for details.

Terri Duenas

Contracting Officer

VA-OPA-2021-D0537AE2

Amendment 0001 Solicitation 36C10G23R0004 EDI P2E Services

The purpose of this amendment is to provide answers to questions submitted by offerors and to provide updated attachments to offerors. Solicitation 36C10G23R0001 is hereby amended to reflect the following:

1. Attachment D Questions has been updated to include Government responses. See

Attachment D Questions with Responses for Government responses.

2. Attachment A Performance Work Statement EDIP2E has been updated. See the document titled “Amendment 0001 Updated Attachment A Performance Work Statement

EDIP2E” for changes incorporated into the PWS.

3. Attachment B Price has been updated. Offerors shall utilize the document titled

“Amendment 0001 UPDATED Attachment B Pricing” for Volume 5 Price submission.

The following changes are hereby incorporated into Attachment B Pricing:

a. CLIN X002 description has been updated to:

Health Care Claim (includes Institutional, Professional, and Dental) 837 batches transactions (includes acknowledgements, 999/277CA)

b. CLIN X003 description has been updated to:

Health Care Claim (includes Institutional and Professional) 837 Medicare

Crossover batch transactions (includes acknowledgements, 999/277CA)

c. CLIN X007 description has been updated to:

Health Care Claim Status Request and Response 276/277 (includes acknowledgements) Hosted Transactions

d. CLIN X008 description has been updated to:

Health Care Claim Status Request and Response 276/277 (includes acknowledgements) Direct Real-Time transactions

e. CLIN X009 description has been updated to:

Health Care Claim Status Request for Additional Information 277RFAI

f. CLIN X013 description has been updated to:

Paper to Electronic (P2E) Per Page Conversion

4. Attachment E Quality Assurance Surveillance Plan (QASP) is hereby incorporated into this solicitation.

All other terms and conditions remain unchanged.

Amendment 0001 Solicitation 36C10G23R0004 EDI P2E Services

ATTACHMENTS

See attached document: Amendment 0001 Updated Attachment A Performance Work

Statement EDIP2E.

See attached document: Amendment 0001 UPDATED Attachment B Pricing.

See attached document: Attachment E Quality Assurance Surveillance Plan.

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