Attachment D-Eyeglass Detailed Bill Sample.xlsx

XLSX spreadsheet 16 KB Posted

Attached to
6540--Cancelation: FY23: VISN 8 Eyeglasses Requirement
Solicitation number
36C24823R0045
Issued by

About this file

This solicitation is seeking offers for the provision of prescription eyeglasses to eligible beneficiaries of Veterans Integrated Service Network 8 (VISN 8). The scope includes providing both dress and safety eyeglasses, with options for veterans to select and submit frame selections and measurements online via the offeror's website once that capability is available. All items provided must be new. The offeror will fabricate and assemble the eyeglasses in accordance with the prescription provided by authorized VA staff, and ship the completed orders to designated addresses. The offeror must guarantee the eyeglasses against defects for a minimum of one year. Corrected orders must be returned within ten business days for errors caused by the contractor. Ordering will be done by the Prosthetic and Sensory Aids Service (PSAS) for individual veterans. The contractor must provide a secure web portal allowing VA to track order status and exchange billing and payment information compatible with VA's 4sight system. The Department of Veterans Affairs is the contracting agency.

View the file

Other files

File Type Posted
36C24823R0045_15.docx DOCX document
36C24823R0045 0011.pdf PDF
36C24823R0045_14.docx DOCX document
36C24823R0045_13.docx DOCX document
36C24823R0045 0010.pdf PDF
ATTACHMENT D - CONTRACT DEFICIENCY REPORT - SAMPLE.docx DOCX document
ATTACHMENT B - QUALITY ASSURANCE SURVEILLANCE PLAN - SAMPLE.doc DOC document
36C24823R0045_12.docx DOCX document
ATTACHMENT A - COST AND PRICE SCHEDULE - AS OF 9-12-24.xlsx XLSX spreadsheet
ATTACHMENT E - EYEGLASS DETAILED BILL - SAMPLE.xlsx XLSX spreadsheet
36C24823R0045 0009.pdf PDF
VISN 8 RFP 36C24823R0045 - AS OF 09-12-24.pdf PDF
ATTACHMENT C - PATIENT SATISFACTION QUESTIONNAIRE - SAMPLE.docx DOCX document
36C24823R0045_10.docx DOCX document
NEW Final Attachment A COST PRICE SCHED.xlsx XLSX spreadsheet
RFP 36C24823R0045 03-30.docx DOCX document
36C24823R0045_9.docx DOCX document
36C24823R0045 0007 02.docx DOCX document
36C24823R0045_8.docx DOCX document
NEW Attachment A COST PRICE SCHED.xlsx XLSX spreadsheet
36C24823R0045 0003- 3.docx DOCX document
Questions and Anwsers 3-24-2023.pdf PDF
36C24823R0045 0002 - 2.docx DOCX document
36C24823R0045_7.docx DOCX document
36C24823R0045 0004 -4.docx DOCX document
36C24823R0045 0006.pdf PDF
RFP 36C24823R0045 03-24.pdf PDF
36C24823R0045 0005 - 5.docx DOCX document
36C24823R0045 0001 (2).docx DOCX document
NEW - Attachment A - COST PRICE SCHED.xlsx XLSX spreadsheet
RFP 36C24823R0045 03-15.docx DOCX document
36C24823R0045_6.docx DOCX document
NEW - Attachment A - COST-PRICE SCHEDULE.xlsx XLSX spreadsheet
36C24823R0045 0001.docx DOCX document
Questions and Anwsers 3-14-2023.docx DOCX document
36C24823R0045 0004.docx DOCX document
36C24823R0045 0002.docx DOCX document
36C24823R0045_5.docx DOCX document
RFP 36C24823R0045 03-15-2023.docx DOCX document
36C24823R0045 0003.docx DOCX document
36C24823R0045_4.docx DOCX document
NEW Attachment A - COST-PRICE SCHEDULE.xlsx XLSX spreadsheet
36C24823R0045_3.docx DOCX document
Attachment C - Quality Assurance Surveillance Plan.doc DOC document
Attachment E - Patient Satisfaction Survey - VISN 8 Eyeglasses.docx DOCX document
RFP 36C24823R0045 3-3-23.pdf PDF
Attachment F - Contract Deficiency Report.docx DOCX document
36C24823R0045_2.docx DOCX document
RFP 36C24823R0045.pdf PDF
ATTACHMENT A COST-PRICE SCHEDULE.xlsx XLSX spreadsheet
Show 40 more

Latest 50 of 55 listed here. See the rest on GovTribe.

On GovTribe

Work with this file

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

Text version

Report Date SHIPPING DATE VETERANS (LAST NAME, FIRST NAME, MID. INITIAL LAST FOUR OF SSN VA SITE/ LOCATION INVOICE NUMBER Job Number HCPCS (V2100,2200, 2300, V2781) TYPES OF LENS (SINGLE-V2100, BI-FOCAL-V2200, TRI-FOCAL- V2300, PROGRESSIVE -V2781, LENS ONLY) FRAME NAME /MODEL PRICE MISC. COMMENTS

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