SAM #36C24C26Q0042

VA Seeks Healthcare Clearing House Solution for HIPAA Electronic Insurance Transactions and Discovery

This opportunity seeks a Healthcare Clearing House (HCCH) solution for the Department of Veterans Affairs to process HIPAA-compliant electronic insurance transactions and insurance discovery at scale. - Government Buyer: - Department of Veterans Affairs - Veterans Health Administration (VHA) - Office of Community Care (OCC), Revenue Operations (RO), eBusiness Solutions Office - Financial Services Center (FSC) and eInsurance Project Team - Products/Services Requested: - Real-time HIPAA 270/271 transactions for standard, participating, and non-participating payers - Over 20 million annual transactions (detailed volumes provided) - Customized insurance coverage discovery transactions (for both found and not-found insurance) - Over 19 million annual transactions - Transition plans (activation and closure), electronic acknowledgements, and minimum payer connectivity - Monthly and bi-weekly reporting, electronic notifications - Unique/Notable Requirements: - Must support both real-time and batch processing - Extensive payer connectivity, including essential and additional payers - Compliance with HIPAA, CAQH CORE, and EHNAC HNAP-EHN certifications (accreditation required by November 1, 2026) - Secure data handling and federal cybersecurity compliance - Transition plans for both contract start and end - 5-year ordering period with a contract ceiling of $25 million - No specific OEMs or commercial vendors are named; the procurement is open to qualified providers of HCCH solutions.

Description

Sources Sought Notice Sources Sought Notice Sources Sought Notice HCCH I Electronic Insurance Transactions and Insurance Discovery (HIPPA) RFI: 36C24CQ0024

IMPORTANT: Please read this email notice in full BEFORE responding!

The Department of Veterans Affairs, RPO Central Supply & Services Team 2 seeks vendors for the purpose of a near-future solicitation for a Healthcare Clearing House (HCCH) in order to perform discovery of Electronic Insurance Transactions and Insurance.

The VA is conducting market research and is seeking written responses with information to assist with identifying potential sources that are interested in, and capable of, providing the supplies required. Please review the information contained herein and identify whether your company has the capability and interest to provide the supplies as described. Please see section titled SUBMITTAL OF RFI RESPONSE below for what information to include in your company s response.

Scope of Work

See attachment A: Performance Work Statement (PWS).

Submittal of RFI Response If you believe you are capable of providing the required supplies, please provide a complete response no later than Friday October 2, 2026, at 2:00 PM (Eastern). A complete response satisfies the information requested below. All correspondence regarding this requirement shall reference the RFI number, 36C24C26Q0024 and project title, HCCH I (HIPPA Discovery), in the subject line of the email. No phone calls will be accepted. Responses should be emailed to Aimee Maxel (CS) at aimee.maxel@va.gov and Kristy Svendsen (CO) kristy.svendsen@va.gov.

The Government requests respondents provide the following information: Company Information: Name, Address, Point of Contact, GSA/MAS/SEWP Contract Number (if applicable), and SAM UEI Number. Company s Business Size and Status: Please provide your socio-economic size status, the number of years in business, affiliate information (parent company, potential teaming partners), and number of employees. Capabilities: The submittal shall provide the information necessary for the Government to determine the vendor is capable of providing the required supplies and/or services. Past Experience: Provide the following information on a maximum of three (3) similar projects completed within the last three (3) years for which the respondent was a prime contractor or subcontractor. Limit responses to no more than 20 pages in length, single spaced, 12-point font. Name, address, and dollar value of each project. Prime Contract Type (Firm Fixed Price, Time and Materials, etc.) Point of Contact information (name, phone, email) of the owner for each project. A brief description of each project (no more than a few paragraphs) and why it is relevant to this requirement, including difficulties and successes. Your company s role and services provided for each project. Completed VA Acquisition Regulation (VAAR) 852.219-76 VA Notice of Limitations on Subcontracting Certificate of Compliance for Supplies and Products (see Attachment D certificate for completion).

Set-Aside Complete responses to this notice will assist the VA in determining any potential set-aside for the requirement. Currently a total set-aside for Service-Disabled Veteran Owned Small Business (SDVOSB) firms is anticipated based on the Veterans Administration [VA] requirement with Public Law 109-461, Section 8127 Veterans Benefit Act. However, if responses by SDVOSB firms prove inadequate, an alternate set-aside or full and open competition may be used.

Not providing all information requested in response to this notice may result in the VA being unable to determine a vendor potentially capable of satisfying the requirement and, subsequently, if the rule of two criteria is not met, a specific set-aside category may not be decided by the Contracting Officer.

Product Description Document Comments The Government welcomes any comments or questions on the DRAFT PWS associated with this requirement. Please provide clear comments or questions and provide the page and section reference for each comment or question.

NAICS Code 518210 Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services. If you believe a different NAICS code is a better fit for this requirement, please provide this information.

Disclaimer This notice is for information and planning purposes and does not constitute a solicitation or obligation on the part of the Government. Per FAR 15.201(e), responses to this notice are not considered offers, shall not be used as a proposal, and cannot be accepted by the Government to form a binding contract. Neither unsolicited proposals nor any other kinds of offer will be considered in response to this notice. No evaluation letters and/or results will be issued to the respondents; however, the Government does reserve the right to contact any respondent and/or respondent reference to obtain additional information. At this time, no solicitation exists; therefore, please do not request a copy of the solicitation. Any resulting procurement action will be the subject of a separate, future announcement. The information is provided for discussion purposes and any potential strategy for this acquisition may change prior to any solicitation release. The acquisition strategy, evaluation methodology, contract type, and any other acquisition decisions are to be determined.

End of Document

View original listing