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FBO DAILY ISSUE OF JULY 28, 2006 FBO #1705
SOLICITATION NOTICE

R -- Repricing of Health Care Provider Invoices

Notice Date
7/26/2006
 
Notice Type
Solicitation Notice
 
NAICS
524291 — Claims Adjusting
 
Contracting Office
Department of Veterans Affairs;Dayton VA Medical Center;4100 W. Third St.;Dayton OH 45428
 
ZIP Code
45428
 
Solicitation Number
VA-552-06-RFP-0004
 
Response Due
8/22/2006
 
Archive Date
9/21/2006
 
Small Business Set-Aside
Service-Disabled Veteran-Owned
 
Description
Veterans Integrated Service Networks (VISN) 10 and 11, which encompasses the VA Medical Centers (VAMC) in Cincinnati, Chillicothe, Cleveland, Columbus, and Dayton, Ohio; Ft. Thomas, Kentucky; Ann Arbor, Battle Creek, Detroit, and Saginaw, Michigan; Danville, Illinois; Fort Wayne, Marion, and Indianapolis, Indiana are seeking proposals, from Service-Disabled Veteran-Owned Small Businesses (SDVOSBs) to provide Repricing of Health Care Provider Invoices Services. The VAMC's often send patients to community physicians and ancillary service providers within the communities in which they live. VISN's 10 and 11 are seeking a contractor that will provide preferred pricing services as described below. This includes making healthcare provider discounts available to the VA and providing the preferred pricing information to the VA.  Pricing will be based on a percentage of the savings; if there is no savings, there is no payment to the contractor. The contractor's fee will be a percentage of savings on a per-claim basis with no additional fee beyond the percentage of sayings.  Savings will be defined as the difference between the VA allowable (the amount the VA would pay) and the contractor's preferred price. When eligible veterans use providers offering discounts for hospitalizations, inpatient services, outpatient care, ambulatory surgery, dental, professional services, ancillary, or other services, discounted rates will be available to VAMC's. The VAMC verifies eligibility, that the service is appropriate given the veterans eligibility, and determines the amount the VA will pay on a particular invoice. The VAMC will document the amount VA will pay on the invoice and forward invoices greater than $150 to the contractor. The contractor will verify the provider's best price for the services claimed, returning the information to the VAMC. The VAMC will select the lesser of the two prices for payment. The contractor will provide the capability to exchange invoices electronical ly using HIPAA-compliant transactions.  The applicable NAICS Code is 524291 with a size standard of $6 Million. Contract period is anticipated to be one year from date of award, with two available one-year option periods. Point of Contact is Bob Ivey (90C), VAMC, 4100 W. Third Street, Dayton, Ohio, 45405-9000. Fax number: (937) 262-5974. E-mail address: Robert.ivey@med.va.gov. If you have questions or need additional information, please contact Bob Ivey at (937) 268-6511, Extension 3094.
 
Web Link
Contracting Specialist
(http://www2.fbo.gov/spg/VA/DaVAMC552/DaVAMC552/VA%2D552%2D06%2DRFP%2D0004/Bob Ivey)
 
Place of Performance
Address: VISN 10 and 11
Zip Code: 45428
Country: US
 
Record
SN01098266-W 20060728/060726220728 (fbodaily.com)
 
Source
FedBizOpps Link to This Notice
(may not be valid after Archive Date)

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