7A21--Prepayment Claims Software Editor
ID: 36C10B25Q0371Type: Presolicitation
Overview

Buyer

VETERANS AFFAIRS, DEPARTMENT OFVETERANS AFFAIRS, DEPARTMENT OFTECHNOLOGY ACQUISITION CENTER NJ (36C10B)EATONTOWN, NJ, 07724, USA

NAICS

Software Publishers (513210)

PSC

IT AND TELECOM - BUSINESS APPLICATION SOFTWARE (PERPETUAL LICENSE SOFTWARE) (7A21)

Original Source

https://sam.gov/opp/a89d1b8a1f7e4b2ca90bbaca4f54f9fb/view
Timeline
    Description

    The Department of Veterans Affairs (VA) is seeking information on Prepayment Claims Editor Software through a presolicitation notice designated as RFI 36C10B25Q0371. The objective of this procurement is to identify software solutions that enhance the accuracy of healthcare claims processing and prevent erroneous payments, ensuring compliance with VA policies and regulatory standards. This initiative is crucial for addressing program integrity issues in claims processing, focusing on areas such as medical necessity, billing frequency limits, bundling logic, and auditing rules. Interested vendors are encouraged to submit their capabilities by June 19, 2025, to Contract Specialist Sandra Vargo at sandra.vargo@va.gov. It is important to note that no funds have been allocated for this effort, and participation will incur expenses for vendors without any guarantee of future contracts.

    Point(s) of Contact
    Sandra VargoContract Specialist
    (848) 377-5044
    sandra.vargo@va.gov
    Files
    Title
    Posted
    36C10B25Q0371.docx
    The Department of Veterans Affairs (VA) is seeking information on Prepayment Claims Editor Software through a presolicitation notice designated as RFI 36C10B25Q0371, which is not an invitation to bid. The engagement aims to identify software solutions that can enhance the accuracy of healthcare claims and prevent erroneous payments by employing logic that aligns with VA policies and regulatory standards. Interested vendors are encouraged to respond with their capabilities related to addressing program integrity issues in claims processing. Key areas of focus include medical necessity, billing frequency limits, bundling logic, and auditing rules. The response deadline is June 19, 2025, and submissions should be made to Contract Specialist Sandra Vargo. The notice emphasizes that no funds have been allocated for this effort, and participation incurs expenses for vendors, with no guarantee of future contracts based on responses. This RFI aims to inform the VA's acquisition strategy for a solutions-based approach to improve claims processing before payments are made, ensuring compliance with industry standards and regulations.
    Lifecycle
    Title
    Type
    7A21--Prepayment Claims Software Editor
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