Sources Sought -Outpatient Prospective Payment System (OPPS) Pricer Software
ID: HT001525RFI0002Type: Sources Sought
Overview

Buyer

DEPT OF DEFENSEDEFENSE HEALTH AGENCY (DHA)DHA ENTERPRISE MED SUPPORT EMS-CDFORT SAM HOUSTON, TX, 78234, USA

NAICS

Software Publishers (513210)
Timeline
    Description

    The Defense Health Agency (DHA) is seeking to award a sole source contract to 3M for its Outpatient Code Editor (OCE) and TRICARE Pricer Software, which are essential for processing hospital outpatient claims for TRICARE eligible beneficiaries. The contract will cover a base period from December 22, 2024, to December 21, 2025, with two additional one-year options, ensuring compliance with the reimbursement rules set by the Centers for Medicare and Medicaid Services (CMS). This software is critical for the licensing of a TRICARE-specific Outpatient Prospective Payment System (OPPS) Pricer, which is necessary for the accurate auditing and verification of payments for hospital outpatient claims. Interested parties may submit a capability statement along with an authorized letter from 3M to demonstrate their ability to meet the requirements; if no responses are received, DHA will proceed with the sole source award to 3M. For inquiries, interested firms can contact Shariyun Lawson at shariyun.k.lawson.civ@health.mil or Thomas Reese at thomas.l.reese4.civ@health.mil.

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    Title
    Posted
    The Defense Health Agency (DHA) is seeking a sole source contract with 3M for its Outpatient Code Editor (OCE) and TRICARE Pricer Software to support the processing of hospital outpatient claims for TRICARE eligible beneficiaries from December 2024. This requirement falls under the Federal Acquisition Regulation (FAR) authority for a sole source procurement, identifying 3M as the only responsible entity capable of fulfilling these specific software needs. The software is essential for licensing a TRICARE-specific Outpatient Prospective Payment System (OPPS) Pricer, ensuring compliance with Centers for Medicare and Medicaid Services (CMS) reimbursement rules. Interested firms can submit a capability statement with proof of authorization from 3M if they believe they can meet the requirements. If no responses are received, DHA will proceed with the sole source award to 3M. Contact information for responses is provided.
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