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The Centers for Medicare and Medicaid Services (CMS) is seeking a Software as a Service (SaaS) Commercially-Available-Off-The-Shelf (COTS) product and related configuration and integration services to re-platform Medicare Fee for Service claims processing. Key requirements include near real-time adjudication, policy agility, and improved fraud prevention.
Re-platform Medicare Fee for Service claims processing by replacing legacy systems with a flexible and interoperable platform that reduces administrative burden and improves the beneficiary experience.
ClaimsCore Combined Amendment 0003- The purpose of this amendment is to request offerors provide a copy of any CTA, as applicable in Phase 2 as stated in Amendment 3 - Attachment 3, ClaimsCore
Instructions to Offerors. ClaimsCore Combined Amendment 0002- The purpose of this amendment is to correct the Phase 1 RFP submission due date as stated in Amendment 2 - Attachment 3, ClaimsCore
Instructions to Offerors. ClaimsCore Combined Amendment 0001 - The purpose of this amendment is to
1) provide responses to RFP
questions,
2) provide an Amended Solicitation - 75FCMC26R0022,
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