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This is an attachment document supporting a Special Notice for a Health Care Clearinghouse (HCCH) contract opportunity. The Veterans Health Administration (VHA) Office of Community Care, Revenue Operations, seeks to establish a contract with a second health care clearinghouse to enhance 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 VHA's Austin Financial Services Center serving the United States and its territories. The contractor will conduct customized electronic transactions to search for patient insurance information when VHA lacks existing data on file and will support VHA's mission to implement electronic transactions in compliance with applicable legislation. The contractor shall not direct, change, or engage in VHA policy formulation; VHA retains sole responsibility for reviewing contractor recommendations and making policy decisions.

The solicitation (36C24C27Q0007) was issued October 29, 2026, and represents a Notice of Intent to Sole Source this requirement. The contracting federal agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9. This secondary contract focuses specifically on transmitting 270/271 HIPAA electronic transactions to various payers, complementing VHA's existing contractor who handles broader transaction formats including HIPAA Health Care Claim 837 (X12N-5010) and National Council for Prescription Drug Program transactions. VHA currently processes transactions in both batch and real-time transfer formats.

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Attachment B.docx DOCX document
Attachment K.docx DOCX document
Attachment D.docx DOCX document
Attachment F.docx DOCX document
Attachment A.docx DOCX document
Attachment H.docx DOCX document
Attachment G.docx DOCX document
36C24C27Q0007.docx DOCX document
P02 - 36C24C27Q0007 - NOI.docx DOCX document
Attachment I.docx DOCX document
Attachment L.docx DOCX document
P01 - PWS - HCCH I - 10.29.2026.docx DOCX document
Attachment M.docx DOCX document
Attachment C - Projected Total Transaction Volumes.docx DOCX document
Attachment E.docx DOCX document
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ATTACHMENT J – MINIMUM ESSENTIAL PAYER CONNECTIONS FOR INSURANCE COVERAGE DISCOVERY

ESSENTIAL PAYER NAME FOR INSURANCE COVERAGE DISCOVERY
ESSENTIAL PAYER NAME FOR INSURANCE COVERAGE DISCOVERY
AARP HEALTH PLAN
BCBS OF NORTH CAROLINA
AETNA
BCBS OF NORTH DAKOTA
AMERIBEN
BCBS OF OHIO
AMERICAN POSTAL WRKRS UNION (APWU)
BCBS OF OKLAHOMA
AMERIHEALTH ADMINISTRATORS
BCBS OF OREGON (REGENCE)
ASSOC DE MAESTROS PUERTO RICO
BCBS OF PENNSYLVANIA (HIGHMARK)
ASURIS NORTHWEST HEALTH
BCBS OF RHODE ISLAND
AULTCARE
BCBS OF ROCHESTER AREA (NY)
AUXIANT
BCBS OF SOUTH CAROLINA
AVERA HEALTH PLANS
BCBS OF SOUTH DAKOTA
BCBS HAWAII
BCBS OF TENNESSEE
BCBS OF ALABAMA
BCBS OF TEXAS
BCBS OF ALASKA (PREMERA)
BCBS OF UTICA-WATERTOWN (NY)
BCBS OF ARIZONA
BCBS OF VERMONT
BCBS OF ARKANSAS
BCBS OF VIRGINIA
BCBS OF CENTRAL NEW YORK
BCBS OF WEST VIRGINIA
BCBS OF COLORADO
BCBS OF WISCONSIN
BCBS OF CONNECTICUT
BCBS OF WYOMING
BCBS OF DELAWARE
BCBS PUERTO RICO (TRIPLE-S)
BCBS OF DIST OF COLUMBIA (CAREFIRST)
BENEFIT MANAGEMENT INC.
BCBS OF FLORIDA
BLUE CROSS OF CALIFORNIA
BCBS OF GEORGIA
BLUE CROSS OF IDAHO
BCBS OF HAWAII
BLUE CROSS OF PENNSYLVANIA (CAPITAL)
BCBS OF ILLINOIS
BLUE CROSS OF PENNSYLVANIA (INDEPENDENCE)
BCBS OF INDIANA
BLUE CROSS OF UTAH (REGENCE)
BCBS OF IOWA
BLUE CROSS OF WASHINGTON (PREMERA)
BCBS OF KANSAS
BLUE SHIELD OF CALIFORNIA
BCBS OF KANSAS CITY
BLUE SHIELD OF IDAHO
BCBS OF KENTUCKY
BLUE SHIELD OF NEW YORK (NORTHEASTERN)
BCBS OF LOUISIANA
BLUE SHIELD OF WASHINGTON (REGENCE)
BCBS OF MAINE
BOON-CHAPMAN BENEFIT ADMIN
BCBS OF MARYLAND (CAREFIRST)
CAPITAL DISTRICT PHYSICIANS-CDPHP
BCBS OF MASSACHUSETTS
CIGNA
BCBS OF MICHIGAN
CONNECTICARE
BCBS OF MINNESOTA
CORESOURCE (FMH)
BCBS OF MISSISSIPPI
CORESOURCE (LITTLE ROCK)
BCBS OF MISSOURI
CORESOURCE (MD PA IL NC IN)
BCBS OF MONTANA
CORESOURCE (OH)
BCBS OF NEBRASKA
COUNTRY LIFE INSURANCE CO

BCBS OF NEVADA

BCBS OF NEW HAMPSHIRE

BCBS OF NEW JERSEY (HORIZON)

BCBS OF NEW MEXICO

BCBS OF NEW YORK (EMPIRE)

BCBS OF NEW YORK (EXCELLUS)

BCBS OF NEW YORK HEALTHNOW/WESTERN

MEDBEN

MEDICA

MEDICAL CARD SYSTEM

MEDICAL MUTUAL OF OHIO

MED-PAY

MODA HEALTH

MUNICIPAL HEALTH BENEFIT FUND

MUTUAL OF OMAHA

MVP HEALTH CARE

NALC - NATL ASSN OF LTR CARRIERS

CULINARY HEALTH FUND
NBF 1199 NATIONAL BENEFIT FUND
DAKOTA CARE
NETWORK HEALTH PLAN
DEAN HEALTH PLAN
OPTIMA/SENTARA
DESERET MUTUAL
OXFORD HEALTH PLANS (UHC)
EBMS
PACIFIC SOURCE HEALTH PLAN
EMBLEMHEALTH
PAN-AMERICAN LIFE INSURANCE
FIRSTCARE
PARAMOUNT HEALTH
GEISINGER HEALTH PLAN
PHYSICIANS MUTUAL INSURANCE CO
GILSBAR
PREFERRED ONE
GOLDEN RULE INSURANCE
PRIORITY HEALTH
GOVT EMPLOYEES HSPTL ASSOC (GEHA)
PROVIDENCE HEALTH PLAN
HEALTH ALLIANCE MEDICAL PLANS (HAP-MI)
PUBLIC EMPLOYEES HEALTH PLAN (PEHP)
HEALTH ALLIANCE MEDICAL PLANS (IL)
QUALCARE
HEALTH CHOICE
QUALCHOICE
HEALTH NET
ROCKY MOUNTAIN HEALTH PLAN
HEALTH PLAN OF UPPER OHIO VALLEY
SANFORD HEALTH PLAN
HEALTHCARE MANAGEMENT ADMINISTRATORS
SCOTT & WHITE HEALTH PLAN
HEALTHCOMP ADMINISTRATORS
SECURE HEALTH PLANS OF GEORGIA
HEALTHPARTNERS
SECURITY HEALTH PLAN
HEALTHSCOPE
SELECT HEALTH UTAH
HOMETOWN HEALTH PLAN
SIERRA HEALTH SERVICES
HUMANA
SISCO BENEFITS
INDEPENDENT HEALTH
STATE FARM
INTERNATIONAL MEDICAL CARD INC
SUMMACARE HEALTH PLAN
JOHNS HOPKINS HEALTH PLAN
TUFTS HEALTH PLAN
KAISER FDN HEALTHPLAN- COLORADO
UMR (WAUSAU)
KAISER FDN HEALTHPLAN- HAWAII
UNICARE
KAISER FDN HEALTHPLAN- MID-ATLANTIC
UNIFIED LIFE INSURANCE COMPANY
KAISER FDN HEALTHPLAN- NORTHWEST
UNION PACIFIC RAILROAD EMP HLTH SYS
KAISER FDN HEALTHPLAN- OHIO
UNITED AMERICAN INSURANCE COMPANY
KAISER PERMANENTE OF GEORGIA
UNITED HEALTH CARE
KAISER PERMANENTE OF N CALIFORNIA
UNITY HEALTH PLANS
KAISER PERMANENTE OF S CALIFORNIA
UPMC HEALTH PLAN (TRISTATE)
KEY BENEFIT ADMINISTRATORS
VIVA HEALTH INC
LIFETIME BENEFIT SERVICES (RMSCO)
WEA TRUST
LIFEWISE HEALTHPLAN OF WASHINGTON
WEB-TPA
LOOMIS COMPANY
KITSAP PHYSICIAN SERVICES

MAGNACARE

Note: List is subject to change as payers are added or removed

File details come from the government source that posted it. Updated .