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

Solicitation description

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....

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