Attachment I.docx

This is an attachment document supporting a Special Notice for a sole source contract opportunity with 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 enhance electronic connectivity and reduce processing time for revenue operations. 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 serving all U.S. states and territories. The contractor must conduct customized electronic insurance discovery searches when the VHA lacks existing insurance information on file and support VHA's ongoing mission to implement electronic transactions in compliance with federal legislation and administrative simplification requirements. The VHA currently utilizes a contractor for electronic transaction transmission to the national payer community using various formats including HIPAA Health Care Claim 837 (X12N-5010) and NCPDP transactions processed as both batch and real-time transfers. This secondary contract will exclusively handle 270/271 eligibility and benefits transactions for multiple payers. The contractor shall provide recommendations only; the VHA retains sole authority for policy formulation and decision-making. The solicitation number is 36C24C27Q0007, issued October 29, 2026, as a Notice of Intent to Sole Source under federal action number VA-27-00018291.