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

Solicitation description

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...

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