Attachment H.docx

This file is an EICD Reconciliation Report template that outlines the data structure and metrics required for tracking electronic insurance discovery transactions. The report is designed to capture insurance search inquiry and response volumes, including differentiation between transactions that returned found data and those that did not return data. The report must include general information such as generation date, data date range, and breakdown by organizational location (CPAC, VISN, or Station as provided by the VA). The detailed section requires tracking of insurance search inquiries with found data, insurance search responses with found data, insurance search responses without found data, and calculation of rates for both insurance found and insurance not found outcomes.

This reconciliation report supports the VA's Health Care Clearinghouse I (HCCH I) contract for HIPAA Electronic Transactions and Insurance Discovery (Solicitation 36C24C27Q0007), which involves processing HIPAA Health Care Eligibility/Benefit Inquiry and Response 270/271 electronic transactions. The contractor performing this work must provide this reconciliation data to enable the VA's Austin Financial Services Center to monitor transaction volumes and processing effectiveness across the VHA's nationwide operations, facilitating the agency's mission to increase electronic transaction capabilities and reduce administrative processing times for revenue operations.