Attachment B.docx

This file is a solicitation attachment for a Health Care Clearinghouse contract supporting the Department of Veterans Affairs Veterans Health Administration (VHA). The VHA Office of Community Care, Revenue Operations, and eBusiness Solutions Office seeks to establish a contract with a second Health Care Clearinghouse (HCCH) to increase connectivity and decrease processing time for revenue operations nationwide. The contractor will process HIPAA Health Care Eligibility/Benefit Inquiry and Response 270/271 electronic transactions received from the VHA's Austin Financial Services Center, conduct customized electronic searches for patient insurance information when VHA lacks existing data, and support the VHA's mission to implement electronic transactions in compliance with federal legislation. The contractor will transmit transactions only; the VHA retains sole responsibility for policy formulation and review of contractor recommendations.

This is a sole-source procurement (Solicitation Number 36C24C27Q0007, Action Number 36C24C27Q0007) issued October 29, 2026, by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9. The contract involves handling HIPAA-compliant transactions and requires coordination with the national Payer community. The contractor will manage both batch and real-time transaction transfers, complementing an existing contractor that handles other transaction formats including HIPAA Health Care Claim 837 (X12N-5010) and NCPDP transactions. The solicitation emphasizes the contractor's operational support role without policy-making authority, ensuring VHA maintains control over administrative and policy decisions.