63051

Case Healthcare Solutions, Inc. d/b/a Case HCS of Reston, Virginia

June 13, 2024Judge Wilson
Sustained / Appellant PrevailedQuantum / DamagesCDA JurisdictionDCAA InvolvedCommercial Item

Case Healthcare Solutions, Inc. appealed a decision regarding unpaid fees from the U.S. Army Medical Command, which the Army sought to dismiss for lack of jurisdiction. The Board denied the Army's motions, allowing the appeal to proceed.

Material Facts

  • The Army awarded Contract No. W81K00-18-P-0639 to Case HCS to provide insurance billing support.
  • Case HCS's performance fee was 16% of the amount collected from its billing efforts.
  • Case HCS reported billing medical claims totaling $22,157,582.86, with $11,381,035.02 collected by the Army.
  • Case HCS submitted a certified claim to the Army's contracting officer on December 9, 2019, requesting $821,835.38.
  • The Army's contracting officer never issued a final decision regarding Case HCS's claim.
  • Case HCS appealed to the Board on September 29, 2021, nearly two years after its claim submission.

Parties

Appellant
Case Healthcare Solutions, Inc. d/b/a Case HCS of Reston, Virginia
Respondent Agency
U.S. Army Medical Command
Contract Number
Contract No. W81K00-18-P-0639
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