R710--Third Party Billing Bridge Contract (VA-26-00040654)

NOTICE OF INTENT TO SOLE SOURCE

INTRODUCTION

The Veterans Health Administration (VHA), Program Contracting Activity Central (PCAC), intends to award a follow-on contract on a sole source basis with Receivia, Inc. a Woman-Owned Small Business (WOSB) for Third Party Billing Services with Consolidated Patient Account Center (CPAC) Revenue Operations (RO). The purpose of this contract is to provide continuity of services while a new contract completes the competitive acquisition process. The contract will provide services crucial to overflow work with the VA s generation of claims for third-party billing.

REQUIREMENT

The Contractor shall provide all labor and equipment required for generation of Veteran Affairs (VA) claims to third party healthcare insurance carriers for CPAC sites nationwide. VA s CPACs are responsible for billing and collecting from insurance companies for medical treatment provided to veterans for non-service connected (NSC) conditions.

Contractors shall provide services to establish and authorize outpatient medical claims to third party insurance carriers in the VA Veterans Health Information Systems and Technology Architecture (VistA) information system.

Public Law 99-272 grants VA authority to seek reimbursement from third party health insurers for the cost of medical care furnished to an insured non-service connected (NSC) veteran. Public Law 101-508 expanded VA's recovery program by providing authorities to seek reimbursement from third party payers for the cost of medical care provided to ensure service-connected veterans treated for their NSC conditions.

ADMINISTRATIVE:

The applicable North American Industry Classification System (NAICS) code, 524292 Pharmacy Benefit Management and Other Third-Party Administration of Insurance and Pension Funds is most appropriate for this requirement. The size standard is $45.5 million. The Product Service Code (PSC) is R710 Support Management - Financial.

The statutory authority permitting other than full and open competition is Only One Responsible Source and No Other Supplies or Services Will Satisfy Agency Requirements per 41 USC §3304(a)(1) as implemented by FAR 6.302-1.

This notice of intent is not a request for competitive quotes. No solicitation document is available and telephone requests will not be accepted. However, any responsible source who believes it is capable of meeting the requirements may submit a capability statement, which shall be considered by the agency, only if received by the closing date and time of this notice. A determination by the Government not to compete the proposed procurement based upon responses received to this notice is solely within the discretion of the Government.

Interested persons are encouraged to furnish information by email only with 36C77626Q0084 Notice of Intent Third Party Billing in the subject line and responses are due on or before Friday, February 20 at 2:00 p.m. Eastern Time to this procurement s Contract Specialist Lisa Strawbridge at Lisa.Strawbridge@va.gov, and Contracting Officer Kymberly Morgan at Kymberly.Morgan@va.gov.

The Department of Veterans Affairs will NOT be responsible for any costs incurred by interested parties in responding to this notice of intent. Only written responses from responsible sources will be considered. Any prospective contractor must be registered in the System for Award Management (SAM) to be eligible for award.

Any response to this notice shall submit clear and convincing documentation demonstrating their capability to satisfy the requirement. The capability documentation should include, at a minimum, the following information with their response:

Company Name and Address:

Point of Contact (POC)

Name:

Email Address:

Phone Number:

SAM UEI Number:

Mark if your firm is eligible for participation in one of the following small business programs. If so, please indicate the program:

[ ] yes [ ] no - Small Business (SB)

[ ] yes [ ] no - HUBZone

[ ] yes [ ] no - Small Business 8(a)

[ ] yes [ ] no - Small Disadvantaged Business (SDB)

[ ] yes [ ] no - Women-Owned (WO) Small Business

[ ] yes [ ] no - Service Disabled Veteran Owned Small Business (SDVOSB)

[ ] yes [ ] no - Veteran Owned Small Business (VOSB)

[ ] yes [ ] no - Large Business

[ ] yes [ ] no - Other (please specify)

Note: Do not include Proprietary, classified, confidential, or sensitive information in responses.

In addition to providing the information requested above, responding companies are encouraged to include any relevant information to confirm the company s ability to meet the requirements outlined in this request.

Responses to this notice are not offers and cannot be accepted by the U.S. Government to form a binding contract or agreement. This notice shall not be construed as a commitment by the Government to issue a solicitation, or ultimately award a contract, nor does it restrict the Government to a particular acquisition approach. The Government will in no way be bound to this information if any solicitation is issued.

Contracting Office Address:

Department of Veterans Affairs

Program Contracting Activity Central

6100 Oak Tree Blvd, Suite 490

Independence, OH 44131

DISCLAIMER:

A determination by the Government not to compete this proposed contract based upon responses to this notice is solely within the discretion of the Government. Information submitted in response to this notice will be used solely to determine whether competitive procedures could be used for this procurement.