HT001126RFI0239 Third Party Collections Program.pdf

REQUEST FOR INFORMATION: HT001126RFI0239

Defense Health Agency Third Party Collections Program

1.0 Description

THIS IS A REQUEST FOR INFORMATION (RFI) ONLY. This RFI is being issued solely for information and planning purposes. It does not constitute a Request for Proposal (RFP) or a promise to issue an RFP in the future. This request for information does not commit the Government to contract for any supply or service whatsoever. Further, the Defense Health Agency (DHA) is not at this time seeking quotes or proposals and will not accept unsolicited proposals.

Respondents are advised that the U.S. Government will not pay for any information or administrative costs incurred in response to this RFI; all costs associated with responding to this RFI will be solely at the interested party’s expense. Not responding to this RFI does not preclude participation in any future RFP, if any is issued.

If a solicitation is released, it may be solicited through the GSA eBuy for GSA Multiple Award Schedules or OASIS+ or synopsized on System for Award Management (SAM) website. It is the responsibility of the potential offerors to monitor both sites for additional information pertaining to this requirement. The results of this market research may contribute to determining the method of procurement.

2.0 Background

2.1 In accordance with U.S. Code 1095 and 1079b, the Code of Federal Regulations, and Department of War (DoW) directives, the Government is authorized to recover the cost of providing health care services to covered DoW beneficiaries from third party payers under the Third-Party Collections Program (TPCP). Under this program, the Government bills for medical services provided in DoW/Defense Health Agency (DHA) military treatment facilities (MTFs) and professional services rendered by MTF providers at civilian facilities. The Government also bills third party payers for care provided to non-beneficiaries who are authorized care in the facility, foreign nationals, and civilian emergency patients who carry Other Health Insurance (OHI). All patients, excluding active duty, are required to provide information regarding OHI coverage annually or upon a change in coverage status.

2.2 The DHA is seeking contract support for various medical billing and collection activities in accordance with the attached Performance Work Statement (PWS). Please be advised this is a draft PWS and is subject to change based on the information received from this RFI.

2.3 Period of Performance: The anticipated period of performance will begin in March 2027 and will not exceed 5 years.

3.0 Requested Information

The DHA is seeking the following:

3.1 Companies/Vendors who are capable of providing or have provided similar third party collections program services in the past with the requirements listed in section 5 of the draft

PWS attached.

3.2 Performance Metrics:

3.2.1 What is the length of time your company has with technical hands-on use of Government Billing Solution (GBS) in a Medical Treatment Facility (MTF)? What is your company's experience with Medical billing, collection activities, denial management, payment posting, and refund services within the Medical Health Services (MHS) environment?

3.2.2 What is your company's understanding of MHS Uniform Business Office (UBO) policies and practices when performing billing and collections on behalf of MHS medical facilities?

3.2.3 Explain how your company will acquire additional training resources that supplement Government training on GBS. How will your company administer continuous training on GBS for additional employees beyond the initial government training and for new employees either in the field or at the central hub locations?

3.3 Do you have any additional comments or suggestions to improve the attached PWS? Are there any areas that are unclear?

3.4. Requirements: See Draft PWS attached.

4.0 Responses

4.1 Interested parties are requested to respond to this RFI with a Capability Statement to include two sections:

Section 1 – Administrative Information per RFI Section 4.3 and

Section 2 – Requested Information per RFI Section 3.0.

Capability Statements should be tailored to the particulars of this effort, with appropriate documentation supporting claims of organizational and staff capability. If significant subcontracting or teaming is anticipated in order to deliver technical capability, organizations should address the administrative and management structure of such arrangements.

4.2 Capability Statements should be submitted in Microsoft Word or Portable Document Format (PDF) and are due no later than Friday, 03 April 2026 at 4:00PM EST. Responses shall be limited to ten (10) pages and submitted via e-mail to theophilus.o.agyare.civ@health.mil, contract specialist and jeanna.m.butler.civ@health.mil, contracting officer. Please use the following title in your email subject line HT001126RFI0239 Third Party Collections Program. Proprietary information, if any, should be minimized and MUST BE CLEARLY MARKED. To aid the Government, please segregate proprietary information. Please be advised that all submissions become Government property and will not be returned.

4.3. Section 1 of the Capability Statement shall provide administrative information, and shall include the following as a minimum:

4.3.1. Name, mailing address, phone number, and e-mail of designated point of contact.

4.3.2. Recommended contracting strategy.

4.3.3. In order for the Government to assess the market capability of your company or organization as to one or more aspects of the Third Party Collections Program Draft PWS, please provide the following company information:

a. Company Name;

b. Unique Entity ID;

c. CAGE;

d. Applicable NAICS Codes;

e. Business size status and date of last certification;

f. Applicable GSA SINs [to include description of SIN product/service classification/description];

g. All Applicable Contract Numbers [i.e. GSA OASIS+, GSA Multiple Award

Schedules, etc.] (This information is for market research only and does not preclude your company from responding to this notice.)

5.0 Summary

THIS IS A REQUEST FOR INFORMATION (RFI) ONLY to identify sources that can provide Third Party Collections Program Services. The information provided in the RFI is subject to change and is not binding on the Government. The DHA has not made a commitment to procure any of the items discussed, and release of this RFI should not be construed as such a commitment or as authorization to incur cost for which reimbursement would be required or sought. All submissions become Government property and will not be returned. Telephone inquiries will not be accepted or acknowledged, and no feedback or evaluations will be provided to companies regarding their submissions.