Friday, December 5, 2025

VA Sources Sought: Healthcare Clearinghouse (HCCH) to Support Health Care Electronic Data Interchange (EDI) & paper-based Health claims and associated medical documentation

Re: Solicitation Number: 36C10G19Q0128

“Succinctly, VA259-17-D-0190 acquired services related to receiving paper claims and/or paper medical documentation from community health care providers, in a single location, converting these documents to the appropriate HIPAA-compliant EDI transactions and sending these documents to VA’s contracted clearinghouse as EDI transactions. This was a small portion of the level of effort (less than 5%).”

“Having a single contractor to perform the services identified in the two current contracts shall provide significant savings to the taxpayers and facilitate internal VA processes.”

The Contractor shall provide full and complete implementation within 150 days of award to ensure virtually no disruption of EDI services between CBOPC and its trading partners;

The contractor must be a fully Accredited Healthcare Network by the Electronic Healthcare Network Accreditation Commission (EHNAC) at the time of proposal submission and maintain accreditation for the duration of the contract;

The contractor must be certified by the Council for Affordable and Quality Healthcare (CAQH) at the time of award and maintain certification for the duration of the contract at phase IV (at a minimum). Phase V was implemented April 2019. Firms may be required to possess Phase V certification…

Read more here.

 

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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