Attachment D-Eyeglass Detailed Bill Sample.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C24823R0045
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.
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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
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