VA RFP: HCCH HIPAA Insurance Identification and Verification

Solicitation: 36C77620R0008

The Veteran’s Health Administration (VHA) Office of Community Care (OCC), Revenue Operations (RO), eBusiness Solutions Office is looking to establish a Contract with a Health Care Clearing House (HCCH) to continue to increase connectivity and further decrease processing time for VHA revenue operations.  The Contractor shall conduct Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility/Benefit Inquiry and Response 270/271 electronic transactions received from our internal clearinghouse service from across the United States and its territories.  The Contractor shall conduct customized electronic transactions to search for patient insurance when VHA does not already have information on file. The Contractor shall assist the VHA in continuing its mission to implement electronic transactions. At no time shall the Contractor direct, change, or engage in the formulation of VHA policy. The VHA is solely responsible to review the Contractor’s recommendations and to make decisions concerning the formulation of policy.

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