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Third Party Billing and Pharmacy Benefit Management

Veterans Affairs (VA)Sol: 36C24C27Q0001
8(a)HUBZoneSDBSDVOSBTBD
$5K – $461K per task order

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Quick Brief

The Department of Veterans Affairs is conducting market research to identify capable sources for third party billing services through the Consolidated Patient Account Center Revenue Operations. The requirement involves the authorization and release of outpatient medical claims, including those for VA Care in the Community.

Generated 13d ago

Scope & Requirements

Provide third party billing services including the authorization and release of outpatient medical claims and VA Care in the Community claims.

Contract Details

Contract Type
TBD
Contract Value
$5K – $461K per task order
IDIQ ceiling: $45.5M
Similar contracts award $5K to $461K (median $55K, 674 awards)
NAICS Codes
Set-Asides
8(a), HUBZone, SDB, SDVOSB

Qualifications & Eligibility

NAICS Size Standard
$45.5 million
Required Registrations
  • SAM.gov
  • SBA VetCert

Agency & Contact

Contracting Organization

Agency
VETERANS AFFAIRS, DEPARTMENT OF
Office
Regional Procurement

Point of Contact

John A. Smith
Contracting Officer
(202) 555-0100

Key Dates

Published15d ago
Jul 10, 2026
Became Solicitation14d ago
Jul 10, 2026
Tracked
Last Updated13d ago
Jul 12, 2026
Sought Response Date5d ago
Jul 20, 20262:00 PM EDT
Response Due4d ago
Jul 20, 2026

Description

I. Introduction:   In accordance with Revolutionary FAR Overhaul (RFO) Part 10.001 Market Research

Requirements, RFO 15.101(c) Requests for Information and RFO 19.101 Presolicitation Small Business Goals and Veterans Administration Acquisition Regulation (VAAR) 810.000 Market Research, this request is for information and planning purposes only and shall not be construed as a solicitation or as an obligation on the part of the Department of Veterans Affairs (VA).  The Department of Veterans Affairs, Regional Procurement , is conducting market research and is seeking written responses with information to assist the Government with identifying potential sources that are interested in, and capable of, Third Party Billing through Consolidated Patient Account Center (CPAC) Revenue Operations (RO). Tasks include authorization and release of outpatient medical claims and authorization and release of outpatient medical claims for VA Care in the Community.  The North American Industry System (NAICS) Code for this acquisition is 524292 - Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. The small Business size standard is $45.5 million. Pursuant to RFO Part 10, Market Research, the purpose of this notice is to determine if sources capable of satisfying the agency's

requirements exists and to determine the commercial practices of company's engaged in providing the needed service. Pursuant to RFO Part 6 and RFO Part 19, competition and set-aside decisions may be based on the results of this market research. This notice in no way obligates the Government to any further action. SAM: Interested parties should register in the System for Award Management (SAM) as prescribed in RFO Clause 52.204-7, which can be accessed at https://sam.gov/. SMALL BUSINESS ADMINISTRATION CERTIFICATION (VetCert): Interested Service-Disabled Veteran-Owned Small Business and Veteran-Owned Small Businesses must be registered in the Small Business Administration s Small Business Search (SBS) found at https://search.certifications.sba.gov/. II.

Requirements:     Please see attached DRAFT Performance Work Statement (PWS).  III. Submittal Information: Companies having the skills and capabilities necessary to meet or exceed the stated

requirements are invited to provide information to contribute to this Sources Sought Notice including commercial market information and company information. Companies may respond to this Sources Sought Notice via e-mail to Contract Specialist Lisa Strawbridge at [email protected] and

Contracting Officer, Kymberly Morgan at [email protected]. The subject line must read 36C24C27Q0001 Third Party Billing. Responses must be submitted no later than 07/20/2026, at 2:00pm Eastern Time.  The submission cannot exceed 10 pages in length, single spaced, 11-point Calibri font that addresses the

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