Description
1.SOURCES SOUGHT NOTICE (SSN) ONLY. The U.S. Government is conducting market research only to determine the availability of qualified Contractors capable of providing Modern Claims
Processing Program Support services. Interested Contractors are invited to provide a capability statement with responses to the Veterans Benefits Administration (VBA) questions via e-mail
to Contract Specialist Ross Byrne at ross.byrne@va.gov by April 10, 2024 1:00 pm (PT). The email subject line must contain the following: Response to Sources Sought Notice 36C10D24Q0129,
VBA Modern Claims Processing Program Support services . Sources Sought Notice responses shall not exceed 8 pages total. Responses shall be prepared on standard 8.5 x 11-inch paper (charts
may be landscaped but must be on 8.5 x 11-inch paper) and shall be in Times New Roman, font size (12), with 1 margins. All pages of the response shall be appropriately numbered and
identified with the Sources Sought Notice number. Responses will be used to determine the appropriate strategy for a potential acquisition. Please clearly identify any information your
company considers sensitive or proprietary. This notice is issued solely for information and planning purposes - it does not constitute a Request for Quotation (RFQ), or a promise to
issue an RFQ in the future. This notice does not commit the U.S. Government to contract for any supply or service. Further, the U.S. Government is not seeking quotes, or proposals at this
time and will not accept unsolicited quotes in response to this Sources Sought Notice. The U.S. Government will not pay for any information or administrative costs incurred in response to
this notice. Submittals will not be returned to the responder. Not responding to this notice does not preclude participation in any future RFQ, if any is issued. 2.BACKGROUND: The
Veterans Benefits Administration (VBA) Office of Automated Benefits Delivery has a current need for a Contractor to provide Modern Claims Processing Program Support services. The Modern
Claims Processing (MCP) Program support is intended to provide transformative services to Veterans Benefits Administration s (VBA) claims processing. The program is leveraging computable
benefits data from VBA and medical data from the Veterans Health Administration (VHA) to conduct analysis and identify administrative tasks and workflows for automation. The goal is to
assist claims processors in making fast, accurate, consistent, and equitable claim decisions for Veterans and beneficiaries. Through automation the efficiency of compiling and indexing
evidence data are improving the effectiveness of compiling relevant evidence into more intuitive information for claim processors to review and adjudicate. Hence, claim processors are
making faster, well-informed decisions while maintaining full adjudicative discretion in accordance with statutes and regulations. 3.NAICS: 541611, Administrative Management and General
Management Consulting Services 4.Information Sought Contractor Information Contractor Responses to Questions 4.1 Contractor Information Contractor Name: Address: Contractor point of
contact: Phone number: email address: SAM IUE: Please indicate business size: Small Disadvantage Business (SDB)____ 8(a)____ Historically Underutilized Business Zone (HUBZone)____
Service-Disabled Veteran-Owned Small Business (SDVOSB)____ Veteran-Owned Small Business (VOSB)_____ Economically Disadvantaged Women-Owned Small Business (EDWOSB)_____ Women-Owned Small
Business concerns (WOSB)_____ Small Business_____ Large Business_____ Please state if you possess a Federal Supply Schedule (FSS) under 541611________ 4.2 Contractor Capability Statement
response to VBA Program Office Questions. Please submit your Capability Statement response to the questions below that demonstrates your company has the capability, experience and
resources to provide the required Modern Claims Processing Program Support Services as stated in the attached draft Performance Work Statement below. Provide an overview of your firm s
capabilities to fulfill the requirements of the PWS, to include organizational and staff capability and experience. Provide a brief narrative summary of your technical approach to mapping
XSD schema representations of disability benefits questionnaires (DBQs) to VA Schedule for Rating Disabilities (VASRD) evaluation criteria. Provide a sample mapping of a DBQ to VARD
evaluation criteria. Provide a brief narrative summary of your technical approach to developing SQL queries that chain adjacent hospital admissions within VA s Corporate Data Warehouse
(CDW) in order to accurately determine total duration of hospitalization as it pertains to entitlement to Veterans Benefits Administration benefits under Title 38 of the Code of Federal
Regulations (CFR) 4.29, 4.30, 3.552, etc. Provide an example of your experience with the following: a.           Electronic Health Record Medical Data to VASRD b.Â
          Health Data Repository (HDR) c.            VA Informatics and Computing Infrastructure d.           Current
Procedural Terminology (CPT) Coding e.           International Classification of Diseases (ICD) Coding f.            38 CFR Part 3, VA
Adjudication g.           38 CFR Part 4, VA Schedule for Rating Disabilities h.           M21-1, VA Adjudication Procedures Manual i.  Â
          Fast Healthcare Interoperability Resources Specifications