SOLICITATION NOTICE
R -- Medical Claims
- Notice Date
- 2/26/2019
- Notice Type
- Synopsis
- NAICS
- 524292
— Third Party Administration of Insurance and Pension Funds
- Contracting Office
- U.S. Department of Veterans Affairs;OPAL | Strategic Acquisition Center;10300 Spotsylvania Ave | STE 400;Fredericksburg VA 22408-2697
- ZIP Code
- 22408-2697
- Solicitation Number
- 36C10G19R0018
- Response Due
- 3/1/2019
- Archive Date
- 5/30/2019
- Point of Contact
- Sharon.Redman@va.gov
- Small Business Set-Aside
- N/A
- Description
- PRESOLICITATION NOTICE: The Department of Veterans Affairs Strategic Acquisition Center in Fredericksburg, Virginia intends to issue a solicitation for the procurement of Health Services Medical Claims Processing (Medical Claims) for the Financial Services Center (FSC) located in Austin, TX. The Department of Veterans Affairs (VA), Financial Services Center (FSC) is authorized by the Government Management Reform Act of 1994 (Public Law 103-356) to provide administrative support services on a reimbursable basis to VA and Other Government Agencies (OGA s), as a Franchise Fund. The goals of the Franchise Fund organizations include: lowering overhead costs, improving the quality and delivery of services, creating economies of scale, eliminating redundant services, being auditable. The VA-FSC is committed to developing a performance based culture in the workforce. The agency s talent management strategy is an integral part of the agency s business strategy, which supports the strategic plan and priority goals. The standards that support this strategy are based around three principles: Plan for and manage current and future workforce needs Design, develop, and implement proven strategies and techniques to attract, hire, develop and retain talent Make progress toward closing any knowledge, skill, and competency gaps throughout the agency VA-FSC processes medical claims in support of their customers. Vendors providing medical services and care to individuals send claims to the VA-FSC for adjudication in accordance with appropriate fee schedules based on customer program requirements. The VA-FSC is responsible for processing the associated medical claims submitted by the medical providers in accordance with the Prompt Payment Act and customer program requirements and reimbursing medical care providers on behalf of customers. This acquisition is for staffing to assist with medical claim processing. Current VA-FSC customers include, but are not limited to, 21 Veteran Integrated Service Networks (VISNs) throughout the United States (US), Veterans Choice Program, Department of Health and Human Services, dialysis medical claims (Medicare), and compensation claims resulting from Veterans exposure to contaminated water at Marine Corps Base Camp Lejeune, North Carolina. Future growth for FSC product lines may include the processing of all medical claims that will be part of the VA Community Care Network contract. Medical claims adjudication software is not a part of this requirement. All necessary equipment is provided by the Government for onsite work during the period of performance. The Government intends to issue a Request for Proposal (RFP) to establish single award hybrid Labor Hour/Firm Fixed Price Contract, the anticipated period of performance is 60-months. The Government intends to post an RFP to Federal Business Opportunities on or about March 20, 2019. The solicitation will remain open for 30-days for proposals to be submitted for evaluation. Specific details will be included in the RFP. This requirement is a 100% set-aside for Service Disabled Veteran Owned Small Businesses under the authority of 38 U.S.C. 8127(d). SDVOSB contractors must be verified and viewable in VetBiz www.vip.vetbiz.gov prior to submission of proposal and prior to award of contract. Status as a qualified SDVOSB concern is under the authority of 38 CFR Part 74 in accordance with the VA Acquisition Regulation (VAAR) Part 819. Eligibility determination is performed by the Center for Veterans Enterprise (CVE). To be eligible for award the SDVOSB must be considered small under 524292 NAICS code. System for Award Management (SAM): https://www.sam.gov/portal/public/SAM/ Important Notice: Prior to submitting a bid under this SDVOSB set- aside solicitation; offerors must apply for and receive verification from the Department of Veteran Affairs Center for Veterans Enterprise (CVE) in accordance with 38 CFR Part 74 and VAAR 819.70 by submission of documentation of Veteran status, ownership and control sufficient to establish appropriate status. No telephone or email request for information will be taken at this time. NOTE: THIS NOTICE WAS NOT POSTED TO FEDBIZOPPS ON THE DATE INDICATED IN THE NOTICE ITSELF (26-FEB-2019); HOWEVER, IT DID APPEAR IN THE FEDBIZOPPS FTP FEED ON THIS DATE. PLEASE CONTACT 877-472-3779 or fbo.support@gsa.gov REGARDING THIS ISSUE.
- Web Link
-
Link To Document
(https://www.fbo.gov/notices/1aea758b9d271f6aee6042169c7ffe15)
- Place of Performance
- Zip Code: 78744
- Record
- SN05233104-F 20190228/190226230023 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
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