Final_ARFQ_0512_OHF2700000001_1_WV_ARFQ_FORM.PDF
PDF 735 KB Posted
- Attached to
- Claims Coding, Billing and Collection Services
- Solicitation number
- ARFQ 0512 OHF2700000001 1
- Issued by
- Kanawha County, West Virginia
About this file
This is an Agency Request for Quote (ARFQ) form issued by the State of West Virginia, Department of Health and Human Resources, Office of Health Facilities for Claims Coding, Billing and Collection Services. The solicitation, numbered ARFQ 0512 OHF2700000001, was issued on September 17, 2026, with a solicitation closing date of October 1, 2026 at 10:30 AM EDT. The services consist of an open-end contract spanning four years, with each year treated as a separate line item. Questions from potential vendors must be submitted by September 23, 2026 at 2:30 PM EDT. Bids should be submitted to the Kanawha Valley Building, Health and Human Resources Department, 300 Capitol Street, 7th Floor, Charleston, West Virginia 25301. The contract will be administered by the Office of Health Facilities, located at 100 Dee Drive, Charleston, West Virginia.
Pricing for this contract is structured as a percentage-of-recovery model based on a monthly estimate of $2,000,000 in claims. Vendors are required to calculate their annual fee for each contract year using the formula: Monthly Estimate ($2,000,000.00) × Vendor Percentage for Recovery × 12 months. Vendors must submit their proposed percentage recovery rates for each of the four contract years and enter the resulting estimated annual costs in the contract amount field. This performance-based pricing structure ties vendor compensation directly to claims recovery outcomes. Inquiries regarding the solicitation should be directed to Roberta A. Wagner, the assigned buyer, at (304) 558-0437 or roberta.a.wagner@wv.gov.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Date Printed: Sep 17, 2026 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05
State of West Virginia Agency Request for Quote
Financial
Proc Folder: 2023001 Reason for Modification:
Doc Description: Claims Coding, Billing and Collection Services
Proc Type: Agency Master Agreement
Date Issued Solicitation Closes Solicitation No Version
2026-09-17 2026-10-01 10:30 ARFQ 0512 OHF2700000001 1
BID RECEIVING LOCATION
KANAWHA VALLEY BUILDING
HEALTH AND HUMAN RESOURCES
300 CAPITOL ST
7TH FLOOR
CHARLESTON WV 25301
US
VENDOR
Vendor Customer Code:
Vendor Name :
Address :
Street :
City :
State : Country : Zip :
Principal Contact :
Vendor Contact Phone: Extension:
FOR INFORMATION CONTACT THE BUYER
Roberta A Wagner
(304) 558-0437 roberta.a.wagner@wv.gov
Vendor Signature X FEIN# DATE All offers subject to all terms and conditions contained in this solicitation
Date Printed: Sep 17, 2026 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05
ADDITIONAL INFORMATION
INVOICE TO SHIP TO
OFFICE OF HEALTH
FACILITIES
OFFICE OF HEALTH
FACILITIES
100 DEE DR 100 DEE DR
CHARLESTON WV CHARLESTON WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
1 CLAIMS CODING, BILLING AND
COLLECTION, YEAR 1
Comm Code Manufacturer Specification Model # 84111506
Extended Description:
OPEN END CONTRACT, CLAIMS CODING, BILLING AND COLLECTION YEAR 1.
Calculate Year 1 annual fee utilizing the following formula.
Monthly Estimate ($2,000,000.00) x Vendor Percentage for Recovery Year 1 (______%) x 12 months = ($_______) Total Estimated Annual/Yearly Cost. Please enter your Year 1 Estimated Annual/Yearly Cost to the Contract Amount Field.
INVOICE TO SHIP TO
OFFICE OF HEALTH
FACILITIES
OFFICE OF HEALTH
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
2 CLAIMS CODING, BILLING AND
COLLECTION, YEAR 2
Extended Description:
OPEN END CONTRACT, CLAIMS CODING, BILLING AND COLLECTION YEAR 2.
Calculate Year 2 annual fee utilizing the following formula.
Monthly Estimate ($2,000,000.00) x Vendor Percentage for Recovery Year 2 (______%) x 12 months = ($_______) Total Estimated Annual/Yearly Cost.
Please enter your Year 2 Estimated Annual/Yearly Cost to the Contract Amount Field.
Date Printed: Sep 17, 2026 Page:3 FORM ID: WV-PRC-ARFQ-002 2020/05
INVOICE TO SHIP TO
OFFICE OF HEALTH
FACILITIES
OFFICE OF HEALTH
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
3 CLAIMS CODING, BILLING AND
COLLECTION, YEAR 3
Extended Description:
OPEN END CONTRACT, CLAIMS CODING, BILLING AND COLLECTION YEAR 3.
Calculate Year 3 annual fee utilizing the following formula.
Monthly Estimate ($2,000,000.00) x Vendor Percentage for Recovery Year 3 (______%) x 12 months = ($_______) Total Estimated Annual/Yearly Cost.
Please enter your Year 3 Estimated Annual/Yearly Cost to the Contract Amount Field.
INVOICE TO SHIP TO
OFFICE OF HEALTH
FACILITIES
OFFICE OF HEALTH
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
4 CLAIMS CODING, BILLING AND
COLLECTION, YEAR 4
Extended Description:
OPEN END CONTRACT, CLAIMS CODING, BILLING AND COLLECTION YEAR 4.
Calculate Year 4 annual fee utilizing the following formula.
Monthly Estimate ($2,000,000.00) x Vendor Percentage for Recovery Year 4 (______%) x 12 months = ($_______) Total Estimated Annual/Yearly Cost.
Please enter your Year 4 Estimated Annual/Yearly Cost to the Contract Amount Field.
SCHEDULE OF EVENTS
Line Event Event Date 1 Questions Due by 2:30 PM EDT 2026-09-23
Document Phase Document Description Page
OHF2700000001 Final Claims Coding, Billing and Collection Services
| 1 |
| 2 |
| 3 |
| 4 |
| 1 |
File details come from the government source that posted it. Updated .