Attachment G.docx

This is a reporting template for the Electronic Insurance Clearinghouse Discovery (EICD) Response Report, designed to track and document insurance search transaction data for the Department of Veterans Affairs Veterans Health Administration. The report template specifies that data must be organized by generation date and data date/range, with breakdowns by location including CPAC (Consolidated Patient Account Center), VISN (Veterans Integrated Service Network), and individual VA Station facilities. The report captures two primary metrics: insurance search responses containing found data transaction volume and insurance search responses without found data transaction volume, providing detailed transaction-level information to support monitoring and analysis of the Health Care Clearinghouse operations.

This template supports the VA's solicitation (36C24C27Q0007) for a second Health Care Clearinghouse contractor to process HIPAA-compliant 270/271 electronic eligibility and benefit inquiry transactions through the Austin Financial Services Center. The reporting structure enables the Veterans Health Administration to track the clearinghouse's performance in conducting electronic insurance searches and maintaining transaction processing efficiency across VHA facilities nationwide.