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COMMERCE BUSINESS DAILY ISSUE OF MARCH 10,1998 PSA#2048

Department of Veterans Affairs, James A. Haley Veterans Hospital, AMMS (90C), 13000 Bruce B. Downs Blvd., Tampa, FL 33612

R -- THIRD PARTY BILLING SOL RFQ 673-70-98 DUE 033098 POC Mick Dubuis 813-972-7593 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) 673-70-98 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 standard is 3.5 million. The James A. Haley Veterans Hospital, 13000 Bruce B. Downs Blvd., Tampa, Florida 33612 has a requirement for Third Party Billing. This contract shall service the following VA Hospitals and their Outpatient Clinics: Tampa, Miami, Gainesville, Lake City, West Palm Beach, and Bay Pines. The successful offeror shall provide all necessarylabor, materials, postage, etc., required to provide collection services for delinquent (90 days and beyond) health insurance claims (including liability claims) for 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)-82, UB 92, and/or Health Care Financing Administration (HCFA) 1500. Contractor shall pursue follow-up action to insurance carriers and initiate the recovery of insurance claims for which payment is still outstanding through written correspondence, telephone contact, or other electronic means. Contractor shall direct insurance carriers to pay claims directly to Agent Cashier, of the perspective VA Medical Center. Should payment be received by the Contractor, they shall forward the payment to the VA within 24 hours 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, an provide monthly account activity reports to the VA. The reports shall document all contacts and corrective action taken to obtain 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 90 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, Contractor will return uncollected claims to the VA. Timeframes for processing and collecting late claims payments shall conform to requirement of the Federal Claims 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 25000. 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-Commercial 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 813-903-4838 and directed to the attention of Mick Dubuis (90C). The government shall not be held responsible for quality of fax transmittals. The solicitation number (RFQ number) shall be listed on the outside of your response for identification. (0065)

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