Final_ARFQ_0512_OHF2700000001_1_WV_ARFQ_FORM.PDF
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- Attached to
- Claims Coding, Billing and Collection Services
- Solicitation number
- ARFQ 0512 OHF2700000001 2
- Issued by
- Kanawha County, West Virginia
About this file
This is an Agency Request for Quote (ARFQ) 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 seeks a vendor to provide comprehensive claims coding, billing, and collection services on an open-end contract basis for a four-year term. The contract is structured with annual pricing for Year 1, Year 2, Year 3, and Year 4, with each year evaluated separately. Questions from interested vendors must be submitted by 2:30 PM EDT on September 23, 2026, and the solicitation closes on October 1, 2026 at 10:30 AM. The bid receiving location is the Kanawha Valley Building, Health and Human Resources Department, located at 300 Capitol Street, 7th Floor, Charleston, West Virginia 25301. Interested parties should contact Roberta A. Wagner, the procurement buyer, at (304) 558-0437 or roberta.a.wagner@wv.gov for additional information.
Pricing for this contract is performance-based and calculated using a fixed monthly estimate of $2,000,000.00 multiplied by the vendor's proposed percentage for recovery, multiplied by 12 months to establish the annual fee for each contract year. Vendors must submit their own recovery percentage for each of the four contract years, with pricing to be invoiced to and shipped to the Office of Health Facilities at 100 Dee Drive, Charleston, West Virginia. This structure incentivizes vendor performance in claims recovery while allowing the state to evaluate pricing competitively across multiple years. All offers are subject to the terms and conditions contained in the solicitation documents.
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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
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