Health Services Medical Claims Processing FY-15 Answer to questions for draft solicitation

Question and Answers Draft Solicitation

Draft Solicitation

The Department of Veterans Affairs (VA) Strategic Acquisition Center (SAC) intends to award a 48-month Firm Fixed Price (FFP) Contract. The period of performance for the contract will be one (1) twelve month base period and three (3) twelve month option periods. This requirement is being solicited as a Total Small-Business Set-Aside to Service- Disabled Veteran-Owned Small Business (SDVOSB). The NAICS code is 561110, size standard 7.5 Million.

The contract is to provide Medical Claims Processing Services for the Financial Services Center (VA-FSC) in Austin TX. The VA-FSC Medical Claims Processing Services section processes approximately 5,000 claims daily, 5,000 written and oral payment inquiries on a monthly basis and an estimated annual surge of 600,000 claims is expected. The VA-FSC processes medical claims in support of their customers. Vendors providing medical services and care to individuals send claims to the VA-FSC for adjudication in accordance with appropriate fee schedules based on customer program requirements. The VA-FSC is responsible for processing the associated medical claims submitted by the medical providers in accordance with the Prompt Payment Act and customer program requirements and reimbursing medical care providers on behalf of customers.

Further information will be provided in solicitation VA119-15-R-0210 which will be posted on Federal Business Opportunities on or about July 3, 2015. Please e-mail questions to Melissa Lera at Melissa.Lera@va.gov and Jaime.Friedel@va.gov.