ClaimsCore Combined Synopsis/Solicitation

Inactive
Notice ID:75FCMC26R0022

This is a solicitation for a commercial Software-as-a-Service (SaaS) platform and related services to replace legacy Medicare Fee-for-Service claims processing systems. The program aims to achieve near real-time claims adjudication, improve policy agility, enhance fraud prevention, and improve the beneficiary experience. The acquisition is not set aside for small businesses. Questions regarding the solicitation must be submitted via email by 11:00 am ET on March 6, 2026. Phase One proposals must be submitted via email by 11:00 am ET on March 13, 2026.

Department/Ind.Agency Subtier Office
HEALTH AND HUMAN SERVICES, DEPARTMENT OF CENTERS FOR MEDICARE AND MEDICAID SERVICES OFC OF ACQUISITION AND GRANTS MGMT
  PSC   IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR)
LOCATION: Not Given
Primary Contact
Candace Straker
410-***-8174
Alt Contact
Lauren Holsey
410-***-3746

Links (0)

Attachments (20)

Document
Size
Access
Updated
Amendment 3 - Solicitation 75FCMC26R0022.pdf
499.89 KB
Public
Mar 11, 2026
Amendment 3 - Attachment 3 ClaimsCore Instructions to Offerors.pdf
255.57 KB
Public
Mar 11, 2026
Amendment 3 - Attachment 3 ClaimsCore Instructions to Offerors RL.docx
66.44 KB
Public
Mar 11, 2026
Amendment 2 - Solicitation 75FCMC26R0022.pdf
499.85 KB
Public
Mar 10, 2026
Amendment 2 - Attachment 3 ClaimsCore Instructions to Offerors.pdf
253.55 KB
Public
Mar 10, 2026
Amendment 2 - Attachment 3 ClaimsCore Instructions to Offerors RL.docx
65.38 KB
Public
Mar 10, 2026
Amendment 1 - Solicitation 75FCMC26R0022.pdf
503.59 KB
Public
Mar 9, 2026
ClaimsCore RFP Questions and Responses.xlsx
48.68 KB
Public
Mar 9, 2026
Amendment 1 - Attachment 1 ClaimsCore SOO.pdf
687.27 KB
Public
Mar 9, 2026
Amendment 1 - Attachment 3 ClaimsCore Instructions to Offerors RL.docx
67.6 KB
Public
Mar 9, 2026
Amendment 1 - Attachment 3 ClaimsCore Instructions to Offerors.pdf
253.38 KB
Public
Mar 9, 2026
Amendment 1 - Attachment 6 Beneficiary Quantities Claims and Unit Pricing RL.docx
41.22 KB
Public
Mar 9, 2026
Amendment 1 - Attachment 6 Beneficiary Quantities Claims and Unit Pricing.pdf
163.51 KB
Public
Mar 9, 2026
Solicitation - 75FCMC26R0022.pdf
280.24 KB
Public
Feb 27, 2026
Attachment 1 - ClaimsCore Statement of Objectives.pdf
1.91 MB
Public
Feb 27, 2026
Attachment 2 - Contractor COI Submission Template.docx
57.79 KB
Public
Feb 27, 2026
Attachment 3 - ClaimsCore Instructions to Offerors.pdf
239.67 KB
Public
Feb 27, 2026
Attachment 4 - Past Performance Questionnaire.docx
57.88 KB
Public
Feb 27, 2026
Attachment 5 - FAR 52.212-5.pdf
185.96 KB
Public
Feb 27, 2026
Attachment 6 - Beneficiary Quantities and Unit Pricing.pdf
111.47 KB
Public
Feb 27, 2026


Data sourced from SAM.gov. View Official Posting »

ClaimsCore Combined Synopsis/Solicitation

Notice ID:75FCMC26R0022

This is a solicitation for a commercial Software-as-a-Service (SaaS) platform and related services to replace the legacy Medicare Fee-for-Service claims processing systems. The program aims to create a flexible, interoperable platform that reduces administrative burden and improves the beneficiary experience. The required services include providing near real-time claims adjudication, policy agility, advanced enterprise tools, improved fraud prevention, and tighter integration across CMS entities and partners. The acquisition is not set aside for small businesses. Questions regarding the solicitation must be submitted via email by 11:00 am ET on March 6, 2026.

Department/Ind.Agency Subtier Office
HEALTH AND HUMAN SERVICES, DEPARTMENT OF CENTERS FOR MEDICARE AND MEDICAID SERVICES OFC OF ACQUISITION AND GRANTS MGMT
  PSC   DA01 IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR)
LOCATION: Not Given
Primary Contact
Candace Straker
410-***-8174
Alt Contact
Lauren Holsey
410-***-3746

Links (0)

Attachments (17)


Data sourced from SAM.gov. View Official Posting »

ClaimsCore Combined Synopsis/Solicitation

Notice ID:75FCMC26R0022

This is a solicitation for a commercial Software-as-a-Service (SaaS) platform and related services to replace legacy Medicare Fee-for-Service claims processing systems. The program aims to create a flexible, interoperable platform to reduce administrative burden and improve the beneficiary experience. The required services include providing a commercially available off-the-shelf product along with configuration and integration services. The acquisition is not set aside for small businesses. Questions must be submitted via email by 11:00 am ET on March 6, 2026, and Phase One proposals are due via email by 11:00 am ET on March 13, 2026.

Department/Ind.Agency Subtier Office
HEALTH AND HUMAN SERVICES, DEPARTMENT OF CENTERS FOR MEDICARE AND MEDICAID SERVICES OFC OF ACQUISITION AND GRANTS MGMT
  PSC   DA01 IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR)


Data sourced from SAM.gov. View Official Posting »

ClaimsCore Combined Synopsis/Solicitation

Notice ID:75FCMC26R0022

This is a solicitation for a SaaS COTS product and related services to re-platform Medicare Fee for Service claims processing by replacing several legacy systems. The program aims to achieve near real-time adjudication, policy agility, improved fraud prevention, and tighter integration across CMS entities and partners. The acquisition is not set-aside for small businesses. Questions must be submitted via email by 11:00 am ET on March 6, 2026. Phase One proposals must be submitted via email by 11:00 am ET on March 13, 2026.

Department/Ind.Agency Subtier Office
HEALTH AND HUMAN SERVICES, DEPARTMENT OF CENTERS FOR MEDICARE AND MEDICAID SERVICES OFC OF ACQUISITION AND GRANTS MGMT
  PSC   DA01 IT AND TELECOM - BUSINESS APPLICATION/APPLICATION DEVELOPMENT SUPPORT SERVICES (LABOR)


Data sourced from SAM.gov. View Official Posting »