Description
The ClaimsCore program aims to re-platform Medicare Fee for Service claims processing by replacing legacy systems with a flexible and interoperable platform. The platform should provide near real-time adjudication and claims status, policy agility, industry-leading enterprise tools, improved fraud prevention capabilities, and tighter integration across CMS, Medicare Administrative Contractor (MACs), providers, and partners. The contract will be for a Software as a Services (SaaS) Commercially-Available-Off-The-Shelf (COTS) product and complimentary configuration and integration services.
• The contract is not set-aside for small business concerns.
• The solicitation incorporates provisions and clauses by reference.
• The full text of provisions and clauses may be accessed electronically at www.acquisition.gov.
• The contract line item number (CLIN) structure is provided in the attached solicitation.
• The statement of objectives is provided in Attachment 1 – ClaimsCore Statement of Objectives.