ATTACHMENT E - 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 document appears to be an attachment titled "EYEGLASS DETAILED BILL - SAMPLE.xlsx" related to a federal contract opportunity issued by the Department of Veterans Affairs (VA) Veterans Health Administration for the Veterans Integrated Service Network 8 (VISN 8).

The key details of the related federal contract opportunity are: The VA is seeking to provide prescription eyeglasses, both dress and safety, to eligible beneficiaries within VISN 8. The contractor must fabricate eyeglasses in strict conformance with the prescription/consult provided by an authorized VA staff, verify the final eyeglasses, and ship them to the designated address at the prices indicated in the schedule. The contractor must provide a web-based portal to allow the VA to track the status of each eyeglass order and manage billing and payment information. The contract has an estimated fluctuating patient volume within VISN 8 and a one-year warranty/guarantee period for defective material and/or workmanship.

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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
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 D-Eyeglass Detailed Bill Sample.xlsx XLSX spreadsheet
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
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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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