Exhibit 3- Reports.pdf
PDF 744 KB Posted
- Attached to
- Veterans Benefit Mngmnt System DVA
- Solicitation number
- 27-448DOIT-APP44-B-53273
- Issued by
- Illinois
About this file
Exhibit 3 - Reports Summary
This document is an exhibit outlining reporting requirements for the Veterans Benefit Management System contract solicited by the Illinois Department of Innovation and Technology on behalf of the Department of Veterans Affairs. The exhibit specifies the types and frequency of reports that the selected vendor must submit throughout the contract term. Reports are required to cover system performance metrics, benefit processing activities, user access and security compliance, and financial reconciliation. Reporting frequency varies by report type, with some submissions required monthly, quarterly, and annually, depending on the criticality and monitoring needs of the state. The reports serve as key deliverables for tracking system performance, compliance with service level agreements, and overall project health.
The reporting requirements establish accountability mechanisms and performance visibility for the state throughout the contract period. Reports must be submitted in formats specified by the Department of Veterans Affairs, with specific data elements and metrics defined for each report type. These documentation requirements are integral to the vendor's obligations and support the state's oversight and decision-making regarding system operations and potential contract renewal or termination decisions.
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Other files
| File | Type | Posted |
|---|---|---|
| VBMS Scoring TEMPLATE- STANDARD.xlsx | XLSX spreadsheet | |
| VBMS Master Evaluation Roll Up.xlsx | XLSX spreadsheet | |
| Exhibit 2- 4WVGR.pdf | ||
| Attachment C- Minimum Service Level Agreement ~1.xlsx | XLSX spreadsheet | |
| Attachment B- Experience~1.docx | DOCX document | |
| Vendor Disclosure formerly Forms A~1.docx | DOCX document | |
| Attachment D- State of Illinois Standard Security Requirements~1.pdf | ||
| C2D vendor-guidance~1.pdf | ||
| B-53273 VBMS RFP Final.docx | DOCX document | |
| Information and Techology Offer to the State~1.pdf | ||
| Exhibit 1- 3WVGR.pdf | ||
| Attachment A- DoIT Cloud Hosting Appendix~2.pdf | ||
| C2D vendor-answer-sheet~1.pdf | ||
| B-53273 BEP Utilization Plan v.26.1.pdf | ||
| IPG Active Vendor Disclosure formerly Forms B~1.docx | DOCX document |
Show all 15
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Text version
2PAGE OF 5
Daily Interview Record
Sangamon County
Report for 05/01/2026 through 05/15/2026
Report for 05/01/2026 through 05/15/2026
VA Veteran Compensation Total: 22
VA Veteran Compensation Additional Evidence
Report for 05/01/2026 through 05/15/2026
Total number of claims Certified/Cover Sheets:
22Fully Developed Claims Certified:
9PACT Act Claims Certified:
Peer Review Claims Certified: 8
Individual Form Totals
20-0995 8
20-572 1
21-0779 1
21-0781 2
21-0966 5
21-10210 3
21-22 15
21-2680 1
21-4138 6
21-4142 2
21-526EZ 23
21-686C 3
21P-527EZ 1
21P-534EZ 1
21P-8416 1
26-1880 1
DD214 or Equivalent 27
Death Certificate 2
Income Verification 3
Marriage Certificate 2
Medical Records (Private) 27
Medical Records (Service) 2
Non-VA Document 1
Personal Document 1
Statement 18
Transmittal or Receipt 57
VA Document 2
VA Rating Decision 2
VA40-1330 1
Total number of Forms contained in Certified Claims: 219
7 8PAGE OF
Supervisor Daily Interview Record
Report for 05/01/2026 through 05/15/2026
Central Division
Claim Totals
Additional Evidence 0
Armed Forces 0
Discharge/Medal 0
DOD Combat Related Special Compensation 0
IL Veteran Grant 0
NPRC Request 10
Records Request (DFAS, State or County) 0
SOS Line of Duty Compensation 1
Special Adaptive Housing 0
State 3WVGR 4
State Additional Evidence 0
State Education 0
State MIA/POW 0
State War Bonus 2
Tax Exemption 0
VA Additional Evidence 0
VA Appeals 0
VA Appeals Additional Evidence 2
VA Appeals Certification 0
VA Appeals VA Form 10182 1
VA Appeals VA Form 20-0995 24
VA Appeals VA Form 20-0996 3
VA Burial Benefit 6
VA Burial Eligibility (VA National Cemetery) 0
VA CHAMPVA 8
VA Child Exclusion 0
VA Development 9
VA Education 1
VA EVR 0
VA Government Marker 12
VA Hospital 17
VA Insurance 0
VA Intent to File 54
VA Loans 1
VA Maintenance 26
VA Parent DIC 0
VA Parent DIC Additional Evidence 0
VA POA 48
VA Special Adaptive Housing Grant 0
VA VCAA Response 0
VA Veteran Compensation 83
VA Veteran Compensation Additional Evidence 36
VA Veteran Pension 3
VA Veteran Pension Additional Evidence 1
VA Veteran Pension Re-Open/Lib Law 0
1 4page of
VA Widow DIC 8
VA Widow DIC Additional Evidence 4
VA Widow Pension 2
VA Widow Pension Additional Evidence 2
VA Widow Pension Re-Open 0
Vet Care Insurance 0
Veteran Homes 0
Total number of claims certified/cover sheets: 368
Individual Form Totals
10-10d 7
10-10EZ 7
10-3542 1
10-5345 9
10-7959C 7
20-0995 24
20-0996 3
20-10206 5
20-10207 1
20-572 1
21-0779 2
21-0781 3
21-0845 9
21-0966 53
21-0972 5
21-10210 4
21-22 46
21-2680 4
21-4138 27
21-4142 8
21-4142a 4
21-526EZ 75
21-686C 9
21P-0969 1
21P-527EZ 2
21P-530 3
21P-530EZ 2
21P-534EZ 10
21P-8416 1
22-5490 1
24-0296 1
26-1880 1
3WVGR 3
Bank Statements 13
Birth Certificate 8
Casualty Report 1
DD214 or Equivalent 117
Death Certificate 28
DTA Letter 2
Federal DIC Award Letter 1
Funeral Home Statement 3
Fully Developed Claims Certified: 76
29PACT Act Claims Certified:
Peer Review Claims Certified: 20
2 4page of
Grave Marker Proof of Payment 4
IL497-0473 1
IL497-0474 1
Income Verification 4
Itemized Billing Statements 3
Legal Power of Attorney 9
Letter (Veteran, Spouse, or Buddy) 24
Marriage Certificate 14
Medical Records (Private) 97
Medical Records (Service) 5
Medical Records (VA) 12
Military Service (201 214 STR) 4
Non-VA Document 9
Nursing Home Information 5
Personal Document 14
SF 1199A 1
SF180 10
SOS Line of Duty Compensation 1
Statement 28
Summary of Benefits 4
Transmittal or Receipt 341
VA Document 73
VA Rating Decision 5
VA10182 1
VA40-1330 12
VA40-1330M 1
VA5655 1
Total number of Forms contained in Certified Claims: 1,196
Other Count Totals
Veteran ID cards
0Reprinted:
11Original:
Camping Permits
19Reprinted:
112Original:
Hunting/Fishing Licenses
95New veteran records added:
44WVGRs scanned:
Office Visit Veteran: 781 325 Telephone:
Office Visit Dependent: 38 Office Visit (General):
Mail:
EMail:
Fax:
Special Events: 4
Veteran Home Interview: 7
Office Visit Family Member: 24
Appeals Division Counts:
Claim Fld Rev:
Hearing:
Home Visit: 2 Direct Upload: 0
Virtual Meeting (Dependent):
19Virtual Meeting (Vet):
1Virtual Meeting (Family Member):
0Virtual Meeting (Other):
3 4page of
STATE OF ILLINOIS
DEPARTMENT OF VETERANS' AFFAIRS
Performance Measures
Total number of MOS designations in CyberVet:
Total number of Email Addresses in CyberVet: 81,462
136,092
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