SOLICITATION NOTICE
R -- IDENTIFY BILLABLE 3RD PARTY INSURANCE
- Notice Date
- 7/21/2006
- Notice Type
- Solicitation Notice
- NAICS
- 541611
— Administrative Management and General Management Consulting Services
- Contracting Office
- Department of Veterans Affairs;ASC - VISN 9;3400 Lebanon Pike;Murfreesboro TN 37129
- ZIP Code
- 37129
- Solicitation Number
- VA-249-06-RP-0001
- Response Due
- 8/2/2006
- Archive Date
- 8/12/2006
- Description
- CLASSIFICATION CODE R SUBJECT IDENTIFY BILLABLE 3RD PARTY INSURANCE GENERAL INFORMATION Zip Code: 37129 Document Type: Presolicitation Notice Solicitation Number: VA-249-06-RP-0001 Response Date: 08-02-2006 Set-Aside: NAICS Code: 541611 CONTRACTING OFFICE ADDRESS Department of Veterans Affairs ASC - VISN 9 3400 Lebanon Pike Murfreesboro TN 37129 DESCRIPTION SEE ATTACHMENT POINT OF CONTACT POC Information Automatically Filled from User Profile Unless Entered Below. PLACE OF PERFORMANCE Address: Postal Code: Country: ADDITIONAL INFORMATION Link: Description: E-mail: Description: Statement of Work BACKGROUND VISN 9 Mid-South Customer Account Center (MCAC) is soliciting Requests for Proposal, to identify insurance for veterans without insurance or unknown insurance for the purpose of billing the third party carriers for non-service connected care. The objective is to maximize collections and meet VISN 9 short and long-term revenue objectives. Successful offeror will receive an electronic file on a monthly basis of future patient appointments. The contractor shall receive the file extract from VISTA FTP to identify the patients who have no billable third party insurance. MCAC will run the extract using PGP and FTP (File Transfer Protocol) to contractor site. The contractor will set up a share drive to which this file will be transferred. Each VISN 9 IRM department will create the extract routine to send data to the contractor based on criteria provided by the contractor. (To include, but not limited to, veteran's name, date of birth, and social security number.) SCOPE Successful offeror will receive the data extract from MCAC by the first workday of the month. They will utilize this extract to search for insurance for patients with no identified billable third party insurance, including pharmacy coverage information. Identified billable third party insurance will be downloaded into the buffer file in VISTA. MCAC employees will release/transfer the information from the buffer file into the main insurance files. Note: The data will be pulled from the data extract SCHEDULE AND REPORTING REQUIREMENTS Successful offeror will forward to MCAC by the 15th day of the following month all insurance identified for patient appointments for the previous month. The information required is listed in Attachment A. Note: Regarding the return file, the contractor will use PGP to encrypt it and send it back to MCAC via an email. MCAC will internally work out the details in our process. REPORTING REQUIREMENTS Changes to this original statement of work will be documented and approved only through written correspondence/modifications between VISN 9 Contracting Officer and the Contractor. PAYMENT PROVISION MCAC agrees to compensate the contractor the agreed upon rate identified in the Schedule of Price/Cost (To be submitted by contractor) for each veteran identified with billable third party health insurance coverage. This is a fixed price contract and the agreed upon rate is valid upon the execution of a signed contract. Note: Medicare, Tricare and Tricare for Life are not billable third party insurance coverage. DELIVERABLES All deliverables shall be forwarded to MCAC for acceptance. The contractor will invoice MCAC by the 15th workday of the following month. Payment will be made for all newly identified third party health insurance. CONTRACT PERIOD The project will be for the period of October 1, 2006 through September 30, 2007 with an option to renew for an additional four, one year periods. Identified and verified Pharmacy coverage may be discussed/negotiated at a later date and added to this contract upon agreement of both parties. INVOICE REQUIREMENTS The contractor shall submit an original copy of all invoices to the following address for certification: Department of Veterans Affairs Mid-South Customer Accounts Center Attn: Eva Walle (165) 3410 Lebanon Pike Murfreesboro, TN 37129 In order to expedite payment, the contractor's invoice shall include: invoice date, contractor's name, address and telephone number, purchase order number, name and social security number of veterans with identified billable insurance policies. PAYMENT DUE DATE Payments under this contract will be due 30 days in arrears-after acceptance of services by the Government, in accordance with the terms of the task order. CONTRACTING AND ADMINISTRATION AUTHORITY The contracting officer is the only person authorized to approve changes or modify any of the requirements under this contract on behalf of the Government. In the event the contractor affects any change(s) at the direction of any person other than the contracting officer that change shall be considered to have been made without authority and not adjustment in price shall be made in the contract to cover any increase in charges incurred as a result thereof. The contractor shall submit all requests for modification of this contract and any inquiries pertaining to the administration of the contract to the following: Contracting Office Contact: Greg Lemons (VISN9/90) Contracting Office Address: Department of Veterans Affairs Alvin C. York Campus 3400 Lebanon Pike Murfreesboro, Tennessee 37129 The contractor shall designate a person to be contacted during the period of this contract for prompt administration: NAME:___________________________________________ TITLE:___________________________________________ ADDRESS:________________________________________ __________________________________________________ PHONE NO:________________FAX NO:________________ 11. CONTRACTOR PERSONNEL SECURITY REQUIREMENTS All contractor employees who require access to the Department of Veterans Affairs computer systems shall be the subject of a background investigation and must receive a favorable adjudication from the VA Office of Security and Law Enforcement prior to contract performance. This requirement is applicable to all subcontractor personnel requiring the same access. The contractor is responsible for obtaining the background investigation. If the investigation is not completed prior to the start date of the contract, the contractor will be responsible for the actions of those individuals they provide to perform work for VA. The contractor is required to complete VA Form 0237 for local VA access. In order to protect that data, both MCAC and the contractor will employ encryption software and the contractor shall not release data except for the purposes of this contract. All contractor personnel shall be required to observe the requirements imposed on sensitive data by law, Federal regulations, and VA policies and procedures. The contractor shall complete appropriate screening of their employees. The contractor shall be responsible for their employees (including subcontractors) in release of confidential/proprietary information, and the divulgence to authorized recipients designated by MCAC. The successful offeror / respondent must be able to comply with FIPS 140-2 approved encryption algorithms and products when encryption is required. The connections at each end are located within controlled access facilities, guarded 24 hours a day. Individual users will not have access to the data except through their systems security software inherent to the operating system. All access is controlled by authentication methods to validate the approved users. SCHEDULE OF PRICE/COST The Contractor, is to provide the service of identifying billable third party health insurance of veterans. This is a fixed price contract. FOR THE PERIOD OF October 1, 2006 THROUGH September 30, 2007 UNIT CLIN DESCRIPTION QTY/UNIT COST Service to identify 3rd billable 3rd party health insurance for veterans at VISN 9 FOR THE PERIOD OF EXTENSION BEGIN DATE THROUGH EXTENSION END DATE UNIT CLIN DESCRIPTION QTY/UNIT COST Service to identify 3rd billable 3rd party health insurance for veterans at VISN 9 ESTIMATED QUANTITIES Note: It is difficult to estimate the number of veterans that will be identified with billable health insurance; therefore, Contractor shall provide an EACH pricing for veterans identified. The Government is not obligated to any specified amount of services but shall be obligated to provide payment for all services received.
- Record
- SN01094974-W 20060723/060721220838 (fbodaily.com)
- Source
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