Jurisdiction 4 a/b medicare administrative contractor
Ended Definitive Contract Awarded Last action
- Contract number
- HHSM5002007M0001Z
- Awardee
-
Trailblazer Health Enterprises LLC UEI PG2MAMWLJ3J5 Part of Blue Cross & Blue Shield Of South Carolina
- Awarding agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Obligated
- $418,703,893
Award facts
- Contract value 82% obligated
- $509,736,889.28 Current and potential, with all options
- Completion date 100% complete
-
- Current, with exercised options
- Potential, with all options
- NAICS code
- 524114 Direct Health and Medical Insurance Carriers
- Set-aside
- No set-aside
- Competition
- Full and Open Competition · 2 offers Negotiated Proposal / Quote
- Pricing
- Cost Plus Award Fee
- Place of performance
- Dallas, TX 75243, USA
- Legislative mandates
-
- Service Contract Act FAR subpart 22.10
Award details come from SAM.gov/FPDS.
Transactions
| Action | Obligated | Date |
|---|---|---|
| Other Administrative Action | -$38,039,803 | |
| Other Administrative Action | $0 | |
| Supplemental Agreement for work within scope | $2,307 | |
| Supplemental Agreement for work within scope | $200,000 | |
| Supplemental Agreement for work within scope | $15,864,108 | |
| Change Order | $579,507 | |
| Supplemental Agreement for work within scope | $177,317 | |
| Supplemental Agreement for work within scope | $29,829,607 | |
| Supplemental Agreement for work within scope | $200,000 | |
| Funding Only Action | $287,660 | |
| Funding Only Action | $7,410,672 | |
| Funding Only Action | $350,062 | |
| Funding Only Action | $1,458,236 | |
| Supplemental Agreement for work within scope | $500,000 | |
| Funding Only Action | $250,000 | |
| Funding Only Action | $4,679,621 | |
| Funding Only Action | $1,020,817 | |
| Supplemental Agreement for work within scope | $344,650 | |
| Funding Only Action | $420,000 | |
| Funding Only Action | $50,917 | |
| Supplemental Agreement for work within scope | $1,889,456 | |
| Supplemental Agreement for work within scope | $4,042,563 | |
| Funding Only Action | $403,949 | |
| Change Order | $455,350 | |
| Funding Only Action | $8,942,144 | |
| Exercise an Option | $80,467,971 | |
| Definitize Change Order | $8,633,208 | |
| Funding Only Action | $6,149,240 | |
| Definitize Change Order | -$26,057 | |
| Funding Only Action | $2,280,655 | |
| Change Order | $570,000 | |
| Supplemental Agreement for work within scope | $95,762 | |
| Change Order | $549,889 | |
| Definitize Change Order | -$73,712 | |
| Funding Only Action | $4,224,000 | |
| Definitize Change Order | -$3 | |
| Supplemental Agreement for work within scope | $6,330,000 | |
| Change Order | $477,000 | |
| Change Order | $100,000 | |
| Funding Only Action | $1,055,807 | |
| Change Order | $33,726 | |
| Supplemental Agreement for work within scope | $4,053,386 | |
| Supplemental Agreement for work within scope | $331,438 | |
| Definitize Change Order | $2,547,228 | |
| Supplemental Agreement for work within scope | $677,208 | |
| Exercise an Option | $65,639,831 | |
| Supplemental Agreement for work within scope | $22,361 | |
| Supplemental Agreement for work within scope | $246,973 | |
| Supplemental Agreement for work within scope | $636,912 | |
| Change Order | $50,000 |
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About this award
This is a $509,736,889.28 cost-plus-award-fee definitive contract awarded by the Centers for Medicare and Medicaid Services (CMS) to Trailblazer Health Enterprises LLC, a subsidiary of Blue Cross & Blue Shield of South Carolina. The contract is for Jurisdiction 4 A/B Medicare Administrative Contractor (MAC) services, which includes claims processing, provider enrollment, and program integrity support for the Medicare program. There is no set-aside designation noted for this award. Trailblazer Health Enterprises has a long history of providing healthcare administration services to CMS, leveraging its expertise in areas such as claims processing and IT infrastructure. The parent company, Blue Cross & Blue Shield of South Carolina, also holds several other significant CMS contracts through its subsidiaries Palmetto GBA and CGS Administrators, making it a major provider of services to support federal healthcare programs.
Quick answers
Who was awarded contract HHSM5002007M0001Z?
HHSM5002007M0001Z was awarded to Trailblazer Health Enterprises LLC by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on August 6, 2007.
How much is contract HHSM5002007M0001Z worth?
The government has obligated $418,703,893 on HHSM5002007M0001Z. Its current value, with exercised options, is $509,736,889.
Was contract HHSM5002007M0001Z competed?
The extent of competition for HHSM5002007M0001Z was full and open competition. The government received 2 offers.
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