ClaimsCore Combined Synopsis Solicitation for IT Support Services

This is a combined for commercial products or commercial services prepared in accordance with FAR part 12. This announcement constitutes the only solicitation. Offers are being requested and a separate written solicitation will not be issued. Solicitation number 75FCMC26R0022 is issued as a request for proposal (RFP) for ClaimsCore. The ClaimsCore program seeks to re-platform Medicare Fee for Service claims processing by replacing legacy “Shared Systems” including the Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and Durable Medical Equipment Claims System (DME) as well as the Common Working File (CWF) with a flexible and interoperable platform that reduces administrative burden and sets improvement of the beneficiary experience as the program’s guiding

objective. CMS intends to procure a Software as a Services (SaaS) Commercially-Available-Off-The-Shelf (COTS) product and complimentary configuration and integration services that will provide CMS with near real-time adjudication and claims status, policy agility, industry leading enterprise tools, improved fraud prevention capabilities, and tighter integration across CMS, Medicare Administrative Contractor (MACs), providers, and partners. This acquisition is not set-aside for small business concerns. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov. Structure: See Attached Soliciation-75FCMC26R0022 for a full breakdown of the CLIN structure, items, quantities, and units of measure (including option(s)). See Attachment 1 – ClaimsCore Statement of

Objectives for full description of the

requirements being acquired. See the attached Solicitation - 75FCMC26R0022 and Attachment 5 - FAR 52.212-5 to find the full list of solicitation provisions and contract clauses that apply to the acquisition (see 12.205(a)). Date, Response Times, Place for receipt of offer and

Point of Contacts: All

questions regarding this solicitation shall be submitted via electronic mail (e-mail) no later than 11:00 am Eastern Time (ET) on March 6, 2026 to Contract Specialist, Lauren Holsey, at [email protected] and cc: