Federal solicitation · 36C10G26D0030 · back to recent
VA Claims Processing & Customer Services Support
- Agency
- VETERANS AFFAIRS, DEPARTMENT OF
- Status
- Open
- Response deadline
- Not posted
- Posted
- October 1, 2026
- Set-aside
- Service-disabled veteran-owned small business set-aside
- NAICS
- 524114
- Estimated value
- $517.0M (as posted)
- Source
- View on SAM.gov
- Last checked
- 2026-10-02
Solicitation description
VHA VCC claims processing and customer service functions are critical to ensuring uninterrupted access to healthcare services for Veterans and their families. VHA s existing resources are inadequate to manage the workload required to fulfill mission requirements. These services include verifying eligibility and authorizations, adjudicating claims for community-provided care, and issuing billing guidance to prevent improper payments and minimize reimbursement delays. These functions also support the complex IT systems that enable accurate claims processing and continuity of care. Customer service needs include the operation of customer service call centers to address billing, claims, and eligibility inquiries, including a 24/7 emergency care notification line that serves Veterans in crisis, helps VHA meet reimbursement timelines and ensures Veterans can report urgent care episodes promptly for payment authorization. Timely adjudication of medical claims for services performed by community-based providers guarantees that Veterans and family members of permanent and total service-connected disabled Veterans receive uninterrupted care.
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|---|---|---|---|
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Data this profile does not cover
- No likely incumbent surfaced; the solicitation number did not match any award record in the trailing window.
- No award records for NAICS 524114 in the trailing 12 months, so the vendor field is unavailable.