Healthcare Clearinghouse and Insurance Discovery Services

The Department of Veterans Affairs is seeking capability responses from qualified sources for a health care clearinghouse to process HIPAA 270/271 eligibility transactions and conduct electronic insurance discovery; the notice states an intent to award sole source to PNT Data Corporation.

United States of America > VETERANS AFFAIRS, DEPARTMENT OF > RPO CENTRAL (36C24C)


General
Open (active)
36C24C27Q0007
Nov 03, 2026 03:00 PM
Oct 29, 2026 07:10 PM
6 months base + 1 × 6 months option
Sole Source
Federal
Ask AI about this solicitation
Contact
kristy.svendsen@va.gov
Submission Instructions
Description

The Department of Veterans Affairs intends to make a sole-source award for a secondary health care clearinghouse to process HIPAA 270/271 eligibility and benefit inquiry/response transactions, including batch and real-time processing, acknowledgments, and connectivity to specified health care payers. The contractor will also process customized electronic transactions to discover patients’ third-party insurance coverage when the VA does not have insurance information on file. The draft performance work statement includes projected transaction volumes, payer connectivity requirements, reporting deliverables, and security and accreditation requirements, including EHNAC HNAP-EHN and CAQH CORE Phase II certification or the stated VA security alternative. This is a notice of intent, not a request for competitive quotes. Responsible sources may submit a capability statement, proposal, or quotation for consideration by the closing deadline. Responses must demonstrate capability against the draft performance work statement and include company and registration details; respondents must be registered in SAM.

Classification Codes
NAICS518210Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
PSCQ601Medical Coding and Auditing
Smart Codes
hipaa eligibility transactionsinsurance coverage discoveryhealthcare clearinghouse services
Specifications
Service Only
Timeline
Oct 29, 2026-Notice Published
Nov 03, 2026 03:00 PM-Response Deadline
Dec 3, 2026-Notice Inactive Date
Requirements
No
Documents
TitleDate Posted
Attachment A.docxOct 29, 2026 12:00 PM
Attachment G.docxOct 29, 2026 12:00 PM
36C24C27Q0007.docxOct 29, 2026 12:00 PM
Attachment E.docxOct 29, 2026 12:00 PM
Attachment B.docxOct 29, 2026 12:00 PM
Attachment H.docxOct 29, 2026 12:00 PM
P02 - 36C24C27Q0007 - NOI.docxOct 29, 2026 12:00 PM
Attachment L.docxOct 29, 2026 12:00 PM
Attachment C - Projected Total Transaction Volumes.docxOct 29, 2026 12:00 PM
Attachment F.docxOct 29, 2026 12:00 PM
Attachment I.docxOct 29, 2026 12:00 PM
P01 - PWS - HCCH I - 10.29.2026.docxOct 29, 2026 12:00 PM
Attachment K.docxOct 29, 2026 12:00 PM
Attachment D.docxOct 29, 2026 12:00 PM
Attachment J.docxOct 29, 2026 12:00 PM
Attachment M.docxOct 29, 2026 12:00 PM
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