DOCUMENT
R -- CBO Claims Processing Support - Attachment
- Notice Date
- 1/27/2014
- Notice Type
- Attachment
- NAICS
- 524292
— Third Party Administration of Insurance and Pension Funds
- Contracting Office
- Department of Veterans Affairs;VA Denver Acquisition & Logistics Center;555 Corporate Circle;Golden CO 80401
- ZIP Code
- 80401
- Solicitation Number
- VA79114I0030
- Response Due
- 2/3/2014
- Archive Date
- 2/18/2014
- Point of Contact
- Brandon Maness
- E-Mail Address
-
Brandon.Maness@va.gov
(brandon.maness@va.gov)
- Small Business Set-Aside
- N/A
- Description
- SYNOPSIS: VHA's Non-VA Medical Care Program allows VA to refer eligible Veterans to non-VA providers for health care related services when VA cannot provide the necessary services due to the capacity of VA, the nature of the services required, the geographic availability of such services and the emergent need for services. When VA refers an eligible Veteran to the community for non-VA medical care, the non-VA providers bill VA for their services rendered. These bills are submitted to the referring VA facility via Electronic Data Interchange (EDI) as a HIPAA compliant transaction or through the mail via paper invoice on a CMS 1450 or CMS 1500. When claims are received by the local VA medical center or consolidated payment center they are input into VA's claims processing system and processed by administrative staff for payment to the appropriate health care provider. The claims processing activity requires general knowledge of health care billing and Veteran eligibility for non-VA medical care. CBOPC provides procedure guides and SOPs for the processing of claims. PURPOSE: VA/VHA/CBOPC intends to contract with vendor(s) that can provide assistance with processing health care claims as a result of aged claims inventory nationwide. This support would include processing the aged claims inventory, as well as providing continuous support, as necessary, to prevent any more aged claims. WRITTEN RESPONSES: Please provide a brief explanation on any experience you have regarding the below systems. Provide these responses via email, in a Microsoft Word Document, to Brandon.Maness@va.gov. Responses are due 12PM Mountain, 3 February 2014. 1.What is your company's ability to perform all VA functions for processing medical (current or Aged) claims? 2.Is your company familiar, and have actual experience, with the Fee Basis Claims System (FBCS)? 3.Is your company familiar, and have actual experience with, the processing of claims specific to Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)? 4.Is your company familiar, and have actual experience, with the VA Fee Authorization Process? 5.Is your company familiar, and have actual experience, with the Computerized Patient Records System (CPRS)? 6.Is your company familiar, and have actual experience, with VA Grant/Per Diem Programs and Payment processes? 7.Can your company provide claims processing support off-site and on-site? 8.When providing hourly claims processing support, what is the average number of claims completed, or expected to be completed, per hour? When responding please include your company size, DUNS number, NAICS codes, and any applicable GSA Schedules you are contracted under. This Request for Information does not obligate VA to the release of a solicitation.
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/VA/VADDC791/VADDC791/VA79114I0030/listing.html)
- Document(s)
- Attachment
- File Name: VA791-14-I-0030 VA791-14-I-0030_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1177158&FileName=VA791-14-I-0030-002.docx)
- Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1177158&FileName=VA791-14-I-0030-002.docx
- Note: If links are broken, refer to Point of Contact above or contact the FBO Help Desk at 877-472-3779.
- File Name: VA791-14-I-0030 VA791-14-I-0030_1.docx (https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=1177158&FileName=VA791-14-I-0030-002.docx)
- Record
- SN03275010-W 20140129/140127234434-e9c228feb18108890eea695099ac031b (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
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