TRICARE Claims Review Services (TCRS)

The Defense Health Agency (DHA) is seeking information from interested parties regarding their capabilities to provide TRICARE Claims Review Services (TCRS). The purpose of the TCRS contract is to assist the DHA Improper Payment Evaluation Branch (IPEB) in identifying and reporting improper payments and discrepancies in payment recording for the Military Health System (MHS). The services include independent impartial review of claims processing procedures and reimbursement methodologies utilized by purchased-care contractors, and assessing purchased-care contractor compliance with TRICARE policies and directives. • The current TCRS contract is held by Concept Plus, and the DHA intends to issue a sole-source bridge action to continue the provision of services. • The period of performance will be 12 months from March 01, 2026 – February 28, 2027. • Interested parties must submit a relevant capabilities statement with information demonstrating experience with reviewing/auditing healthcare claims. • Responses to the RFI are due by 2pm Mountain Standard Time (MST) on February 13, 2026.