SOLICITATION NOTICE
R -- ELECTRONIC CLAIMS PROCESSING SERVICES
- Notice Date
- 7/25/2006
- Notice Type
- Solicitation Notice
- NAICS
- 518210
— Data Processing, Hosting, and Related Services
- Contracting Office
- Department of Health and Human Services, Indian Health Service, Billings Area Office, 2900 4th Avenue North PO Box 36600, Billings, MT, 59107
- ZIP Code
- 59107
- Solicitation Number
- RFQ-10-06-045-REL
- Response Due
- 8/4/2006
- Archive Date
- 8/19/2006
- Point of Contact
- Rita Langager, Contract Specialist, Phone 406.247.7293, Fax 406.247.7108,
- E-Mail Address
-
rlangager@mail.ihs.gov
- Description
- This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Subpart 13.5, Test Program for Certain Commercial Items (10 U.S.C. 2304(g) and 2305 and 41 U.S.C. 253(g) and 253a and 253b), and FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994 (Public Law 103-355)). This announcement constitutes the only solicitation; therefore, a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a firm fixed-price commercial item contract in response to Request for Quotation (RFQ) 10-06-045-REL. This solicitation is issued on an unrestricted basis. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-11. The associated North American Industry Classification System code is 518210 and the small business size standard is $23.0 million. PRICE SCHEDULE–CONTRACT LINE ITEM NUMBER (CLIN) ONE: BASE PERIOD: 12,000 claims @ $________ each = $__________; OPTION YEAR ONE: 36,000 claims @ $________ = each $________; CLIN TWO: OPTION YEAR TWO: 36,000 claims @ $________ each = $________. GRAND TOTAL - $__________. Potential contractors shall submit an offer for all CLINs. PURPOSE OF THE CONTRACT: The purpose of this acquisition is to acquire contract electronic claims processing services for the Crow Service Unit, PHS Indian Hospital, Crow Agency, Montana. STATEMENT OF WORK: (a) The contractor must provide electronic and/or paper claim submissions to third party insurance companies for the Crow/Northern Cheyenne Service Unit Business Office. (b) The contractor must provide a Transmission Receipt report on the same day each transmission is received. The Transmission Receipt report must either be faxed or emailed to the Business Office Manager and Lead Billing Technician. This report must include the total number of claims received and the total number of claims with errors. (c) All claims successfully transmitted to the clearinghouse/contractor must be processed within 2 days of receipt. (d) The contractor is only allowed to bill for the claims that are successfully transmitted without errors. The contractor is not allowed to bill above and beyond that service provided. The contractor cannot bill for any claims with errors. (e) The contractor will bill monthly. A copy of the invoice is to be faxed to the Business Office Manager. The Business Office will verify the billing according to the Business Office Transmission Log. Discrepancies will be handled between the Business Office Manager and the Contractor before approval will be made for payment. (f) Any problems identified by the contractor must be brought to the immediate attention of the Project Officer, Lead Billing Technician and/or Business Office Manager. (g) The contractor must have a toll free telephone number available during normal business hours. (h) The contractor will mail all paper claims by regular mail. (i) There are no equipment requirements as the Indian Health Service already possesses a modem and Pro Con Plus, which is a program used to transmit third party claims. (j) There are no computer security requirements due to the fact that the contractor will not be logging into our system for any reason. The Indian Health Service will transmit the information. (k) The Privacy Act of 1974 does apply. The Privacy Act mandates that the Contractor maintain complete confidentiality of all administrative, medical and personnel records, and all other pertinent information that comes to his/her attention or knowledge. The Privacy Act carries both civil and criminal penalties for unlawful disclosure of records. Violation of such confidentiality shall be cause for adverse action. (l)Quarterly audits will be done by the Service Unit Billing Staff. Each staff member will randomly pick 10 claims and follow its progress to verify that the insurance company has received the claim. If for some reason claims for a particular date of transmission come up mission, a more intense audit will be done on that specific transmission date. The contractor will then need to resubmit those claims at its expense. PERIOD OF PERFORMANCE: Date of Award through September 30, 2006, with two 12-month options. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. PROJECT OFFICER: The project officer shall be responsible for: (1) Monitoring the Contractors technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract. INVOICE SUBMISSION AND PAYMENT: The Contractor shall submit its invoice to the Business Office Manager at the Crow Service Unit, PHS Indian Hospital, P.O. Box 9, Crow Agency, Montana 59022. The Contractor agrees to include the following information on each invoice: (1) Contractors name, address and telephone number; (2) Contract Number; (3) Invoice number and date; (4) Cost or price; (5) The number of electronic and paper claims processed; and (6) Remit to address. Payment shall be made by the Billings Area Financial Management Branch, P.O. Box 36600, Billings, Montana 59107. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1 Instructions to Offerors Commercial Items; and 52.212-3 Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION - COMMERCIAL ITEMS (JAN 1999): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers. Potentials contractors must provide a written response to each evaluation factor: (1) THE ABILITY TO SUBMIT THIRD PARTY INSURANCE CLAIMS = 15 POINTS; (2) THE ABILITY TO SUBMIT ELECTRONIC CLAIMS FOR CMS, UBs, and ADA = 15 POINTS; (3) THE ABILITY TO SUBMIT PAPER CLAIMS FOR CMS, UBs, and ADA. = 15 POINTS; (4) KNOWLEDGE OF HIPAA AND THE PRIVACY ACT = 15 POINTS; (5) AVAILABILITY OF TOLL FREE NUMBER DURING NORMAL BUSINESS HOURS = 15 POINTS; and (6) LIST OF FOUR OTHER COMPANIES YOU ARE PROVIDING THIS TYPE OF SERVICE TO = 25 POINTS. Technical and past performance, when combined, are considered approximately equal to cost or price. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.212-4, 52.212-5, 52.215-5, 52.217-6, 52.217-7, 52.217-8, 52.217-9, 52.223-6, 52.224-1, 52.224-2, 52.229-3, 52.232-18, 52.237-3, 52.242-15, 52.242-17, 352.202-1, 352-215-1, 352.215-70, 352.224-70, 352.232-9, 352.270-2, 352.270-4, 352.270-6, and 352.270-7. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.219-8, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-39, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at http://www.arnet.gov and http://www.hhs.gov/ogam/oam/procurement/hhsar.html. CONTRACTORS INTENDING TO CONDUCT BUSINESS WITH THE FEDERAL GOVERNMENT MUST REGISTER WITH THE DEPARTMENT OF DEFENSE CENTRAL CONTRACTOR REGISTRATION (CCR) DATABASE. THE CCR IS THE PRIMARY GOVERNMENT REPOSITORY, WHICH RETAINS INFORMATION ON GOVERNMENT CONTRACTORS. YOU MAY REGISTER VIA THE INTERNET AT HTTP://WWW.CCR.GOV OR BY CALLING (888) 227-2423. PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 2:00 p.m., on August 4, 2006. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your name and address. Offers will also be accepted by e-mail at RLangager@mail.ihs.gov or by fax at (406) 247-7108. ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 60 days from the date of receipt by the Government. NOTE: THIS NOTICE WAS NOT POSTED TO FEDBIZOPPS ON THE DATE INDICATED IN THE NOTICE ITSELF (25-JUL-2006); HOWEVER, IT DID APPEAR IN THE FEDBIZOPPS FTP FEED ON THIS DATE. PLEASE CONTACT fbo.support@gsa.gov REGARDING THIS ISSUE.
- Web Link
-
Link to FedBizOpps document.
(http://www.fbo.gov/spg/HHS/IHS/IHS-BILLINGS/RFQ-10-06-045-REL/listing.html)
- Record
- SN01097901-F 20060727/060725223238 (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
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