S06 0003 Attachment AR - Claimant Daily Appointment Log 1.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- 36C10X25R0001
About this file
This document appears to be an attachment or data dictionary for a claimant daily appointment log related to a federal contract opportunity. The attachment provides instructions for properly formatting and submitting the claimant daily appointment log, including file naming conventions, data fields, and sample data.
The related federal contract opportunity is a Draft Request for Proposal (RFP) under FAR 15 and FAR 12 for the Veterans Benefits Administration (VBA) Medical Disability Examination Office (MDEO) to recompete the multiple award IDIQ contract for Medical Disability Examinations (MDE) in Regions 1-4. The solicitation number is 36C10X25R0001 and the opportunity type is Solicitation. Key details include an Industry Day scheduled for August 13, 2024, questions due by 10:00 AM ET August 19, 2024, and Phase 1 submissions due by 10 AM ET August 26, 2024. The contracting agency is the Department of Veterans Affairs Strategic Acquisition Center Frederick.
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Instructions
| File naming convention - includes the Vendor name, region and an 8 character date (YYYYMMDD) | ||
| Naming convention example: 20220630_Claimant Daily Appointment Log_OSHS_R2.xlsx | ||
| Data Dictionary | ||
| Field | Desciption | Instructions |
| File Number | Veteran's/Claimant's VA file number (could be social security number or other assigned 8-9 digit number | Input Veteran's/Claimant's VA file number |
| Appointment UUID Number | Unique identifier assigned to every examination | Input the unique identifier for the examination |
| Appointment Type | The type of appointment that the Veteran attended | Input the appointment type from the following drop down list Telehealth, ACE/IMO, Gen Med, Specialty and Ancillary |
| First Name | Veteran's/Claimant's first name | Input Veteran's/Claimant's first name |
| Middle Name | Veteran's/Claimant's middle name | Input Veteran's/Claimant's middle name |
| Last Name | Veteran's/Claimant's last name | Input Veteran's/Claimant's last name |
| Street Address | Veteran's/Claimant's home street address | Input Veteran's/Claimant's home address |
| City | Veteran's/Claimant's home city | Input Veteran's/Claimant's home city |
| State | Veteran's/Claimant's home state | Input Veteran's/Claimant's home state |
| Zipcode or Postal Code | Veteran's/Claimant's home zip code or postal code | Input Veteran's/Claimant's home zip code or postal code |
| Country | Country where claimant lives | Input country where claimant lives |
| Phone | Veteran's/Claimant's home phone number | Input Veteran's/Claimant's home phone number |
| Alternate Phone | Veteran's/Claimant's cell phone | Input Veteran's/Claimant's cell phone |
| Email Address | Veteran's/Claimant's email address | Input Veteran's/Claimant's email address |
| Date of Appointment | Date appointment took place | Input the date the appointment is scheduled |
| Appointment Location | Location where appointment took place | Input appointment location address where Veteran was seen in-person. Teleheath and ACE/IMO will be the examiner's address. |
| City of Appointment | City in which the appointment took place | Input appointment city where Veteran was seen in-person. Teleheath and ACE/IMO will be the examiner's city. |
| State of Appointment | State where appointment is scheduled | Input the state where appointment is sheduled |
| Appointment Zipcode or Postal Code | Appointment zip code or postal code | Input appointment zip code or postal code |
| Region | Region (i.e. R1, R2, etc.) where Veteran/claimant lives | Input the region the state took place |
| Name of Examiner | Name of examiner who will complete the examination | Input name of examiner who will complete the examination |
| Examiner NPI Number | NPI number of the examiner | Input the NPI number of the examiner |
| Examination Vendor | Name of vendor who scheduled examination | Input company name |
| Appointment Country | Country location of appointment | Input country location of appointment |
Sample Data
| File Number | Appointment UUID Number | Appointment Type | First Name | Middle Name | Last Name | Street Address | City | State | Zipcode or Postal Code | Country | Phone | Alternate Phone | Email Address | Date of Appointment | Appointment Location | City of Appointment | State of Appointment | Appointment Zipcode or Postal Code | Region | Name of Examiner | Examiner NPI Number | Examination Vendor | Appointment Country |
| 123456789 | 1a11aa11-a111-1111-a111-1111aaa1a1a1 | John | Christopher | Doe | 123 Main Street | Baltimore | MD | 21201 | 410-111-2222 | 410-333-4444 | JohnDoe@gmail.com | 4/22/22 | 112 3rd St. | Baltimore | MD | 21201 | 2 | John Smith | 1111111111 | OSHS |
File details come from the government source that posted it. Updated .