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SAMDAILY.US - ISSUE OF MAY 18, 2022 SAM #7474
MODIFICATION

Q -- TRICARE CLAIMS REVIEW SERVICE (TCRS)

Notice Date
5/16/2022 12:25:36 PM
 
Notice Type
Solicitation
 
NAICS
541611 — Administrative Management and General Management Consulting Services
 
Contracting Office
DEFENSE HEALTH AGENCY AURORA CO 80011 USA
 
ZIP Code
80011
 
Solicitation Number
HT940221R0002
 
Response Due
6/16/2022 4:00:00 PM
 
Archive Date
07/01/2022
 
Point of Contact
Nicholas Ceciliani, Ms. Kristin Moore
 
E-Mail Address
dha.buckley.acquis-procure.mbx.tcrs@mail.mil, dha.buckley.acquis-procure.mbx.tcrs@mail.mil
(dha.buckley.acquis-procure.mbx.tcrs@mail.mil, dha.buckley.acquis-procure.mbx.tcrs@mail.mil)
 
Small Business Set-Aside
SBA Total Small Business Set-Aside (FAR 19.5)
 
Description
TRICARE is a Department of Defense (DOD) healthcare program which serves active duty and retired military personnel, other uniformed service personnel, and their family members. DHA is accountable for the management and operation of the TRICARE health benefits program, which provides medical, dental and pharmacy care through the Military Health System (MHS) to over 9.6 million beneficiaries worldwide in DOD Military Treatment Facilities (MTFs). The MHS is augmented with private sector care services obtained through six contracts including two regional Managed Care Support Contracts (MCSCs), TRICARE Medicare Eligible Program (TMEP, currently TRICARE Dual Eligible Fiscal Intermediary Contract (TDEFIC)), TRICARE Overseas Program (TOP), TRICARE Pharmacy (TPharm) Program and Active Duty Dental Program (ADDP) contracts. TRICARE Claims Review Services (TCRS) effort assists the Improper Payment Program in validating that the TRICARE contractors are performing healthcare reimbursement determinations and healthcare claims processing services in accordance with TRICARE policies, procedures, and �specific contract requirements. The TCRS contractor will be responsible for conducting compliance reviews to determine whether claim payments were appropriately adjudicated.
 
Web Link
SAM.gov Permalink
(https://sam.gov/opp/fa89acd99f9e4dfaa468674552ff270f/view)
 
Place of Performance
Address: Aurora, CO 80011, USA
Zip Code: 80011
Country: USA
 
Record
SN06327721-F 20220518/220516230058 (samdaily.us)
 
Source
SAM.gov Link to This Notice
(may not be valid after Archive Date)

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