R499--Insurance Entry and Verification Buffer Support Services - CPAC [VA-26-00073096]

Title

Sources Sought / Request for Information Insurance Entry and Verification Buffer Support Services

Notice

The Department of Veterans Affairs [VA], Regional Procurement Office - Central [RPOC], is conducting market research to identify capable sources for a potential requirement for Insurance Entry and Verification Buffer Support Services supporting Consolidated Patient Account Center [CPAC] Revenue Operations [RO] nationwide. This Sources Sought / Request for Information [RFI] is issued solely for information and planning purposes and does not constitute a solicitation, request for quote, or request for proposal. The Government is not obligated to issue a solicitation or award a contract as a result of this notice. Responses are being used to support market research, acquisition planning, evaluation of whether the requirement can be acquired as a commercial service, and potential set aside determination..

The draft requirement contemplates contractor provided nationwide insurance entry and verification services, including labor, supervision, management, equipment, and other resources necessary to perform insurance entry and verification of VA patient insurance information in authorized VA healthcare systems and related interfaces. Core functions include insurance entry and verification, eligibility verification, coordination of benefits, discrepancy resolution, rejected entry resolution, required reporting, and compliance with HIPAA, VA privacy, and VA information security requirements.

Performance is expected to align with draft standards such as 93 percent on-time completion of assigned entries, at least 95 percent data accuracy, 100 percent review and action on rejected entries within five [5] business days, required participation in Government directed coordination calls, maintenance of required systems and portal access, and no substantiated privacy or security violations. Vendors should also address recommended transition timing and any material concerns with the draft scope, metrics, security requirements, or acquisition assumptions.

The VA is considering an acquisition approach that may include an IDIQ contract with firm-fixed-price [FFP] Task Orders, under NAICS 541611 Administrative Management and General Management Consulting Services, and PSC R499 Professional Services. Market research will also validate whether this requirement is suitable for the GSA Multiple Award Schedule [MAS], whether the services are commonly available on a commercial basis, and whether a set-aside strategy under Veterans First or another small business program may be appropriate.

Interested and capable firms should provide the information below. Documentation of capability should be specific enough for the Government to assess technical capability, relevant experience, nationwide capacity, and acquisition fit considerations. Questions or information not provided may limit the Government's ability to evaluate the response for market research purposes.

Vendor response checklist

Please respond in the order below and use the same headings:

Item

Information Requested

Vendor Response

a.

Company Name

b.

Company Full Address

c.

Point of Contact Name and Title

d.

Point of Contact Phone, Fax, and Email

e.

UEI Number

f.

Cage Code Number

g.

Tax ID Number

h.

Company website, if available

i.

Business size and socio-economic status under NAICS Code 541611, such as SDVOSB, VOSB, WOSB, EDWOSB, HUBZone, 8(a), other small business, or large business.

j.

State whether your firm currently hold a GSA MAS contract relevant to this requirement. If yes, identify the MAS contract number and applicable SIN(s).

k.

State whether your firm hold any other relevant contract vehicles, such as OASIS+ or similar multiple-award contracts.

l.

Provide information for any current or past VA contracts for this service.

m.

State whether your firm is registered with the System for Award Management [SAM] at https://sam.gov and/or the SBA VetCert Portal at https:// veterans.certify.sba.gov

n.

Provide a brief narrative describing the firm s capability to perform nationwide insurance entry and verification buffer support services, including experience with high-volume healthcare insurance verification, eligibility review, multi-site operations, and secure remote performance.

o.

Provide up to three recent projects of similar size and scope, identifying customer, contract number, period of performance, approximate annual value, role as prime or subcontractor, and a short description of relevant services performed.

p.

Provide a written statement confirming the firm can comply with the government needs Please see attached PWS IV Buffer_RFI DRAFT for this requirement.

q.

State whether the services are offered commercially in a substantially similar form, and whether the firm believes the draft requirement is suitable for acquisition as a commercial service.

r.

State whether the firm believes an IDIQ/Task Order approach is workable for this requirement and what pricing structure is most common for this type of work, such as FFP per transaction, labor-hour, fixed-price Task Order, or hybrid.

s.

Small business respondents must provide a written statement confirming the firm can comply with VAAR 852.219-75 Please see attached VA Notice of Limitations on Subcontracting Certificate of Compliance for this requirement, plus a short description of the anticipated prime/subcontractor workshare approach if the requirement were set aside.

t.

Provide a recommended transition period from award to performance start, expressed in calendar days.

u.

Provide any material concerns with the draft PWS scope, performance metrics, security requirements, or acquisition approach.

Submission instructions

Responses to this notice are due by email no later than Monday, 20 July 2026 at 1:00 PM Eastern Time to both of the contacts below.

Kymberly Morgan Contracting Officer

Kymberly.Morgan@va.gov

Orangella Bittick Contract Specialist

Orangella.Bittick@va.gov

The subject line for correspondence shall clearly display: RFI 36C24C26Q0017 Insurance Entry and Verification Buffer Support Services. Telephone inquiries will not be accepted. All communications and responses regarding this notice should be submitted by email to both the Contracting Officer and the Contract Specialist to avoid delays in receipt and processing.

Contracting Office Address

Department of Veterans Affairs

Regional Procurement Office Central [RPOC]

Supplies and Services Division

1639 Medical Center Parkway Suite 204

Murfreesboro, TN 37129

This Sources Sought / RFI is for market research purposes only. It does not constitute a Request for Quotation [RFQ], Request for Proposal [RFP], or Invitation for Bid [IFB], and it is not to be construed as a commitment by the Government to issue a solicitation or award a contract. The Government will not reimburse any costs associated with preparing or submitting a response. In accordance with FAR 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract.