Attachment A Schedule .pdf
PDF 225 KB Posted
- Solicitation number
- 36C10G20Q0003
About this file
This is an attachment schedule and solicitation for healthcare clearinghouse services to support electronic data interchange and paper-based health claims processing for the Department of Veterans Affairs. The schedule lists 16 line items for electronic transaction processing including claims, eligibility inquiries, payments, attachments and implementations for base and option years starting in October 2020. Paper claim conversion and rejection services are also included. The related solicitation seeks quotes for the line items and will result in a one year contract with three one-year options. Quotes are due by July 6, 2020 and the contract will be awarded to the responsible vendor providing the best value considering technical capability, past performance, socio-economic status and price. The solicitation is issued by the VA Office of Finance under FAR Part 12 for commercial items and FAR Part 15 using simplified acquisition procedures.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10G20Q0003 0003 SF 30.docx | DOCX document | |
| Amendment A-0003 Question and Answers.docx | DOCX document | |
| Attachment H QASP Final.docx | DOCX document | |
| 36C10G20Q0003 0002 SF 30.docx | DOCX document | |
| Amendment A-0002 Question and Answer.pdf | ||
| Attachment E Solicitation Provisions Rev.docx | DOCX document | |
| Attachment H QASP Rev Final.docx | DOCX document | |
| Attachment A Schedule 1 Rev Final.docx | DOCX document | |
| Attachment D PWS Rev Final.docx | DOCX document | |
| Attachment C Contract Clauses Rev Final.docx | DOCX document | |
| 36C10G20Q0003 0001 SF 30.docx | DOCX document | |
| Solicitation 36C10G20Q0003 Question and Answers.pdf | ||
| Attachment C Contract Clauses .pdf | ||
| ATTACHMENT F PAST PERFORMANCE REFERENCES.pdf | ||
| 36C10G20Q0003.pdf | ||
| Attachment H QASP.pdf | ||
| Attachment E Solicitation Provisions .pdf | ||
| ATTACHMENT G PAST PERFORMANCE QUESTIONNARE.pdf | ||
| Attachment B Contract Administration .pdf | ||
| Attachment D PWS .pdf |
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Text version
?.## ATTACHMENT A SCHEDULE
ITEM
NUMBER
DESCRIPTION OF
SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 Health Care Claim 25,324,800.00 JB __________________ __________________
(includes Institutional, Professional, and Dental) 837 batches transactions
(includes acknowledgements)
Contract Period: Base
POP Begin: 10-01-2020
POP End: 09-30-2021
0002 Health Care Claim 4,770,192.00 EA __________________ __________________
(includes Institutional and Professional) 837 Medicare Crossover batch transactions
(includes acknowledgements)
Contract Period: Base
0003 Health Care Claim 15,910,800.00 EA __________________ __________________
Payment /Advice 835 (includes acknowledgements) for both Medicare Crossover and non-Medicare Crossover batch transactions
Contract Period: Base
0004 Health Care 11,009,280.00 EA __________________ __________________
Eligibility Benefit Inquiry and Response 270/271
(includes acknowledgements) Hosted Real Time transactions
Contract Period: Base
0005 Health Care 12,000,000.00 EA __________________ __________________
(includes acknowledgements) Direct Real-Time transactions
Contract Period: Base
0006 Health Care Claim 6,000,000.00 EA __________________ __________________
Status Request and Response 276/277/277CA
(includes acknowledgements) Hosted Transactions
Contract Period: Base
0007 Health Care Claim 0.00 EA __________________ __________________
(includes acknowledgements) Direct Real-Time transactions
Contract Period: Base
0008 Health Care Claim 1.00 EA __________________ __________________
Status Request and Response 277RFAI
Contract Period: Base
0009 Health Care 240,000.00 EA __________________ __________________
Services Review – Request for Review and
Response 278 (includes acknowledgements)
Hosted Real-Time transactions
Contract Period: Base
0010 Health Care 1.00 EA __________________ __________________
Services Review - Request for Review and
Response 278 (includes acknowledgements)
Direct Real-Time transactions
Contract Period: Base
0011 Health Care Claim 4,200,000.00 EA __________________ __________________
Attachment 275 (includes acknowledgements)
Batch Transactions
Contract Period: Base
0012 Paper to Electronic 27,768,842.00 EA __________________ __________________
(P2E) Conversion transactions (837s and 275s)
Contract Period: Base
0013 Rejection Claim 927,744.00 EA __________________ __________________ plus USPS First class Postage
Contract Period: Base
0014 Small
Implementations
20.00 EA __________________ __________________
(Optional)
Contract Period: Base
0015 Medium
10.00 EA __________________ __________________
(Optional)
Contract Period: Base
0016 Large
5.00 EA __________________ __________________
(Optional)
Contract Period: Base
1001 Health Care Claim 25,857,280.00 EA __________________ __________________
(includes Institutional, Professional, and Dental)
837 batches transactions (includes acknowledgements)
Contract Period: Option 1
POP Begin: 10-01-2021
POP End: 09-30-2022
1002 Health Care Claim 5,247,211.00 EA __________________ __________________
(includes Institutional and Professional)
837 Medicare Crossover batch transactions
(includes acknowledgements)
Contract Period: Option 1
1003 Health Care Claim 17,501,880.00 EA __________________ __________________
Payment/Advice 835 (includes acknowledgements) for both Medicare Crossover and non-Medicare
Crossover batch transactions
Contract Period: Option 1
1004 Health Care 12,110,208.00 EA __________________ __________________
(includes acknowledgements) Hosted Real Time transactions
Contract Period: Option 1
1005 Health Care 13,200,000.00 EA __________________ __________________
(includes acknowledgements) Direct Real-Time transactions
Contract Period: Option 1
1006 Health Care Claim 6,600,000.00 EA __________________ __________________
(includes acknowledgements) Hosted
Transactions
1007 Health Care Claim 0.00 EA __________________ __________________
(includes acknowledgements) Direct Real-Time transactions
Contract Period: Option 1
1008 Health Care Claim 1,000.00 EA __________________ __________________
Contract Period: Option 1
1009 Health Care
Services
264,000.00 EA __________________ __________________
Review – Request for Review and
Response 278 (includes acknowledgements)
Hosted Real-Time transactions
Contract Period: Option 1
1010 Health Care
Services
1,000.00 EA __________________ __________________
Review - Request for Review and Response 278 (includes acknowledgements) Direct Real-Time transactions
Contract Period: Option 1
1011 Health Care Claim 4,620,000.00 EA __________________ __________________
Batch Transactions
1012 Paper to Electronic 30,545,726.00 EA __________________ __________________
(P2E) Conversion transactions
(837s and 275s)
Contract Period: Option 1
1013 Rejection Claim 1,020,518.00 EA __________________ __________________
Contract Period: Option 1
1014 Small
20.00 EA __________________ __________________
(Optional)
Contract Period: Option 1
1015 Medium
10.00 EA __________________ __________________
(Optional)
Contract Period: Option 1
1016 Large
5.00 EA __________________ __________________
(Optional)
Contract Period: Option 1
2001 Health Care Claim 30,643,008.00 EA __________________ __________________
837 batches transactions (includes acknowledgements)
Contract Period: Option 2
POP Begin: 10-01-2022
POP End: 09-30-2023
2002 Health Care Claim 5,771,932.32 EA __________________ __________________
837 Medicare Crossover batch transactions
(includes acknowledgements)
Contract Period: Option 2
2003 Health Care Claim 19,252,068.00 EA __________________ __________________
Payment/Advice 835 (includes acknowledgements) for both Medicare Crossover and non-Medicare
Crossover batch transactions
Contract Period: Option 2
2004 Health Care
Eligibility
13,321,229.00 EA __________________ __________________
Benefit Inquiry and Response 270/271
(includes acknowledgements) Hosted Real
Time transactions
Contract Period: Option 2
2005 Health Care
14,520,000.00 EA __________________ __________________
Benefit Inquiry and Response 270/271
(includes acknowledgements)
Direct Real-Time transactions
Contract Period: Option 2
2006 Health Care Claim 7,260,000.00 EA __________________ __________________
(includes acknowledgements) Hosted
Transactions
Contract Period: Option 2
2007 Health Care Claim 0.00 EA __________________ __________________
(includes acknowledgements) Direct Real-Time transactions
Contract Period: Option 2
2008 Health Care Claim 2,000.00 EA __________________ __________________
Contract Period: Option 2
2009 Health Care
Services Review
290,400.00 EA __________________ __________________
Request for Review and Response 278
(includes acknowledgements) Hosted Real-Time transactions
Contract Period: Option 2
2010 Health Care
2,000.00 EA __________________ __________________
Request for Review and Response 278
(includes acknowledgements) Direct Real-Time transactions
Contract Period: Option 2
2011 Health Care Claim 5,082,000.00 EA __________________ __________________
Batch Transactions
Contract Period: Option 2
2012 Paper to Electronic 33,600,299.00 EA __________________ __________________
(837s and 275s)
Contract Period: Option 2
1,122,570.00
Rejection Claim plus USPS First class Postage
Contract Period: Option 2
2014 Small
20.00
(Optional)
Contract Period: Option 2
2015 Medium
10.00
Contract Period: Option 2
2016 Large
5.00
Contract Period: Option 2
3001 Health Care Claim 33,707,309.00
837 batches transactions (includes acknowledgements)
Contract Period: Option 3
POP Begin: 10-01-2023
POP End: 09-30-2024
3002 Health Care Claim 6,349,126.00
837 Medicare Crossover batch transactions
(includes acknowledgements)
Contract Period: Option 3
3003 Health Care Claim
Payment/Advice
21,177,275.00
(includes acknowledgements) for both
Medicare Crossover and non-Medicare
Crossover batch transactions
Contract Period: Option 3
3004 Health Care
14,653,352.00
Benefit Inquiry and Response 270/271
(includes acknowledgements) Hosted Real
Time transactions
Contract Period: Option 3
3005 Health Care
15,972,000.00
Benefit Inquiry and Response 270/271
(includes acknowledgements) Direct
Real-Time transactions
Contract Period: Option 3
3006 Health Care Claim
Status
7,986,000.00
Request and Response 276/277/277CA
(includes acknowledgements) Hosted Transactions
Contract Period: Option 3
3007 Health Care Claim
0.00
Request and Response 276/277/277CA
(includes acknowledgements) Direct Real-Time transactions
Contract Period: Option 3
3008 Health Care Claim
5,000.00
Request and Response 277RFAI
Contract Period: Option 3
3009 Health Care
319,440.00
Request for Review and Response 278
(includes acknowledgements) Hosted Real-Time transactions
Contract Period: Option 3
3010 Health Care
5,000.00
Request for Review and Response 278
(includes acknowledgements) Direct Real-Time transactions
Contract Period: Option 3
3011 Health Care Claim 5,590,200.00
Batch Transactions
Contract Period: Option 3
3012 Paper to Electronic 36,960,328.00
(837s and 275s)
Contract Period: Option 3
3013 Rejection Claim 1,234,827.00
Contract Period: Option 3
3014 Small
20.00
Contract Period: Option 3
3015 Medium
10.00
Contract Period: Option 3
3016 Large
5.00
Contract Period: Option 3
GRAND TOTAL __________________
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