Solicitation: 36U10120Q0055
The Veteran’s Health Administration (VHA) Office of Community Care (OCC), Revenue Operations (RO), eBusiness Solutions Office is looking to establish a Contract with a Health Care Clearing House (HCCH) to continue to increase transaction connectivity and further decrease processing time for VHA revenue operations. The VHA OCC, as a proponent of administrative simplification, currently exchanges transactions from health care entities to third (3rd) party carriers. The Contractor shall provide support for all of VHA’s current electronic transactions across the United States and its territories. The Contractor shall assist the VHA in continuing its mission to implement electronic transactions and to support printing of standard claim forms in certain situations where electronic transmission is not feasible. As such, VHA is required to comply with the Health Insurance Portability and Accountability (HIPPA) Act of 1996 Transaction and Code Set (TCS) regulations.
The Contractor shall work with the Program Office (PO) and Contracting Officer Representative (COR) to provide connectivity for incoming and outgoing electronic transactions. At no time shall the Contractor direct, change, or engage in the formulation of VHA policy. The VHA is solely responsible to review the Contractor’s recommendations and to make decisions concerning the formulation of policy.
