Attachment A.docx

This file is a government attachment document related to a Health Care Clearinghouse (HCCH) procurement for the Veterans Health Administration (VHA). The solicitation, numbered 36C24C27Q0007, is issued as a Special Notice of Intent to Sole Source and seeks to establish a contract with a secondary Health Care Clearinghouse to support VHA's Revenue Operations and eBusiness Solutions Office. The contractor will process HIPAA Health Care Eligibility/Benefit Inquiry and Response (270/271) electronic transactions received from VHA's Austin Financial Services Center for beneficiaries across the United States and its territories. The contractor is also responsible for conducting customized electronic transaction searches for patient insurance information when VHA does not have existing records on file and must assist VHA in advancing its mission to implement electronic transactions in compliance with federal legislation and administrative simplification requirements.

The scope explicitly prohibits the contractor from directing, changing, or formulating VHA policy; VHA retains sole responsibility for reviewing contractor recommendations and making policy decisions. The procurement is managed by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9 (VISN 9). The contractor will handle both batch and real-time electronic transaction transfers, building upon VHA's existing use of a primary Health Care Clearinghouse that currently transmits various HIPAA transaction formats including Health Care Claim 837 (X12N-5010) and National Council for Prescription Drug Program (NCPDP) transactions. This secondary contract focuses exclusively on 270/271 eligibility and benefit inquiry and response transactions for various payers.