Veteran's Affairs Medical Center, Contracting Officer (90C), Acquisition & Material Management Service, One Veterans Plaza, San Juan, PR 00927-5800

R -- THIRD PARTY BILLING SOL RFQ 672-085-98 DUE 040498 POC Natividad Ruiz 787-766-5559 This is a combined synopsis/solicitation for commercial items prepared in accordance with the subparts in Federal Acquisition Regulation 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. Solicitation number Request For Quotation RFQ 672-085-98 is assigned and shall be referenced on any quotations. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 97-03. The Standard Industrial Classification Code is 7322 and the business size is 3.5 million. The VA Medical Center, One Veterans Plaza, San Juan, Puerto Rico 00927 has a requirement for Third Party Billing. The successful offeror shall provide all necessary labor, materials, postage, etc., required to provide collection services for delinquent (180 days and beyond) health insurance claims (including liability claims) for the VA Medical Center's, Medical Care Cost Recovery (MCCR) services. Claims already referred to district counsel will not be included. The contract period shall run through September 30, 1998 and shall have four option years running from October 1st through September 30th of the following calendar year. Total contract duration including all options shall not extend beyond September 30, 2002. The VA will forward uncollected past due (late) claims substantiated by a completed Uniform Billing Form, UB 92, and/or Health Care Financing Administration (HCFA) 1500 and/or any other forms required locally. Contractor shall pursue follow-up action to insurance carriers and initiate the recovery of insurance claims for which payment is still outstanding through wirtten correspondence, telephone contact, or other electronic means. Contractor shall direct insurance carriers to pay claims directly to Agent Cashier, of the VA Medical Center. Should payment be received by the Contractor, they shall forward the payment to the VA within 24hours of receipt, accompanied by a transmittal sheet describing the VA bill/claim number, amount and date of check. The VA will forward a monthly "Claims Referral and Payments Received Report" to the Contractor listing the claims referred during the previous month, listing the collections received and the claims remaining with the contractor for collection. Contractor shall maintain, reconcile, and provide monthly account activity reports to the VA. The reports shall document all contacts and corrective action taken to obtrain recovery. The monthly reports shall reconcile VA referrals, funds received (if any) by the Contractor and forwarded to the VA, and uncollected amounts in excess of 180 days returned that month to the VA. Contractor has 90 calendar days following referral of the claim by VA to recover the outstanding claim. After 90 calendar days, Contractro will return uncollected claims to the VA. Timeframes for processing and collecting late claims payments shall conform to requirement of the FederalClaims collection Standard (4 CFR 101), OMB Circular A-129, and the supplement to the Treasury Financial Manual entitled Managing Credit. Following the end of the month "VA referred and actions list", contractor shall reconcile the list and bill MCCR monthly, in arrears, for the number of claims referred for collection during that month. Estimated total number of claims per year is 10,000. Proposals shall be submitted on an "all or none basis". Partial proposals shall be rejected. All potential offerors shall be available to commence services immediately. Offerors shall provide a complete set of provisions with proposal found at FAR 52.212-3, Offeror Representation and Certifications -- Commerical Items. Provision and clauses found at 52.212-1, 52.212-4, 52.212-5 and 852.210-77 also apply. Proposals shall be submitted to the address listed herein or faxed to 787-766-6035 and directed to the attention of Natividad Ruiz (90C). The government shall not be held responsible for quality of fax transmittals. Thesolicitation number (RFQ number) shall be listed on the outside of your reponse for identification. (0075)

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