Veteran And Family Member Programs Claims Processing Customer Service And Centralized Authorizations For Emergency Care Contract VC3 (VFMP)(CAEC)

The Department of Veterans Affairs, Veterans Health Administration, has a requirement for Veteran and Family Member Programs (VFMP) Claims Processing, Customer Service (CS) and Centralized Authorizations for Emergency Care (CAEC).

Solicitation Summary

The Department of Veterans Affairs, Veterans Health Administration, has a requirement for Veteran and Family Member Programs (VFMP) Claims Processing, Customer Service (CS) and Centralized Authorizations for Emergency Care (CAEC).

Solicitation in a Nutshell

Item

Details
Agency The Department of Veterans Affairs, Veterans Health Administration
Solicitation Number 36C10G23Q0084
Status Pre-RFP
Solicitation Date 06/2024 (Estimate)
Award Date 12/2024 (Estimate)
Contract Ceiling Value $550,000,000.00
Solicitation Number 36C10G23Q0084
Competition Type Undetermined
Type of Award Undetermined
Primary Requirement Professional Services
Duration TBD
Contract Type TBD
No. of Expected Awards N/A
NAICS Code(s):
524292
Pharmacy Benefit Management and Other Third-Party Administration of Insurance and Pension Funds
Size Standard: $45.5 million annual receipts
Place of Performance:
  • United States
Opportunity Website: https://sam.gov/opp/0580feef9c0e4a7dbe893cc81aab312e/view

Background

Requirements

  • Potential procurement of services for a vendor to provide solutions for the following:
  • Veteran and Family Member Programs (VFMP) claims processing system;
  • Tier 0 (defined as, customer service in the form of self service, auto-chat bot, FAQs) and Tier 1 (defined as, a general inquiry answered by a live agent that does not require any type of follow up activities) VFMP Customer Service (CS) capabilities;
  • Customer service 24/7/365 contact center capabilities to support Centralized Authorized Emergency Care (CAEC) documentation, reporting, and provider and stakeholder inquiries associated with Veterans receiving emergency care treatment in the community.
  • The VFMP claims processing, CS, and CAEC Contract (VC3) aims to increase timely and accurate claims processing, enhance the overall customer experience, and increase operational effectiveness using industry state of the art best practices.

How can GDIC Help?

As a consulting firm that specializes in helping companies prepare winning proposals for government contracts, GDIC can provide a wide range of services to help offerors prepare their C2E proposal, including capture management, proposal writing, proposal management, and proposal review. GDIC can also provide training and support to help offerors understand the technical and administrative requirements outlined in the solicitation, and can provide guidance on how to structure the proposal to maximize its chances of success.

Our business development and proposal professionals have several decades of experience and expertise in construction proposals and contracts for government. By working with GDIC, offerors can increase their chances of winning the C2E contract and can position themselves for long-term success in the federal marketplace.

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