The MCS system is the primary component of the medicare claims processing function under medicare part b used to process medicare claims related to physician services and other outpatient services.…

Active Awarded Last action

Contract number
75FCMC23F0114
Awardee
Awarding agency
Obligated
$80,857,937

Award facts

Contract value 76% obligated
  • $80,857,937.09 Current, with exercised options
  • $106,962,399.42 Potential, with all options
Completion date 63% complete
  • Current, with exercised options
  • Potential, with all options
Set-aside
No set-aside
Competition
Full and Open Competition · 2 offers Multiple Award, Fair Opportunity
Pricing
Time and Materials
Place of performance
Windsor Mill, Milford Mill, MD 21244, USA
Legislative mandates

Award details come from SAM.gov/FPDS.

Transactions

Action Obligated Date
Exercise an Option P00010 $16,950,115
Exercise an Option P00009 $19,172,323
Supplemental Agreement for work within scope P00008 $3,413,212
Exercise an Option P00007 $19,431,840
Supplemental Agreement for work within scope P00006 $0
Supplemental Agreement for work within scope P00005 $110,383
Supplemental Agreement for work within scope P00004 $0
Supplemental Agreement for work within scope P00003 $0
Supplemental Agreement for work within scope P00002 $0
Supplemental Agreement for work within scope P00001 $4,458,510
Original award $17,321,553
Show all 11

About this award

The Centers for Medicare and Medicaid Services issued a delivery order to Peraton Inc. on September 1, 2023, with a ceiling value of $106,962,399.42 under the GSA Multiple Award Schedule (MAS) to support the Multi Carrier System (MCS), the primary Medicare claims processing component for Medicare Part B physician services and outpatient claims.

Place of performance is Windsor Mill and Milford Mill, Maryland. The order extends through August 31, 2028, and is priced on a time and materials basis. Subcontractors include Insight Global, LLC and Convergenz LLC for staff augmentation and IT services roles.

Under Service Contract Inventory reporting, the order invoiced $1.4 million in FY2023 (6.6 FTEs, 13,812 contractor hours), $21.6 million in FY2024 (231 FTEs, 479,789 contractor hours), and $22.5 million in FY2025 (106 FTEs, 220,760 contractor hours). Derived government-paid hourly rates were $103.44/hr in FY2023, $44.99/hr in FY2024, and $102.11/hr in FY2025, holding roughly flat across the period. In FY2025, subcontractors performed approximately 5 percent of contractor hours across three named firms.

Description

The MCS system is the primary component of the medicare claims processing function under medicare part b used to process medicare claims related to physician services and other outpatient services. The primary goals of this MCS acquisition, under TH

Subawards

Subcontractor Amount Awarded
Insight Global, LLC THE MCS SYSTEM IS THE PRIMARY COMPONENT OF THE MEDICARE CLAIMS PROCESSING FUNCTION UNDER MEDICARE PART B USED TO PROCESS MEDICARE CLAIMS RELATED TO PHYSICIAN… $90,000
Convergenz LLC THE MCS SYSTEM IS THE PRIMARY COMPONENT OF THE MEDICARE CLAIMS PROCESSING FUNCTION UNDER MEDICARE PART B USED TO PROCESS MEDICARE CLAIMS RELATED TO PHYSICIAN… $77,440
Insight Global, LLC THE MCS SYSTEM IS THE PRIMARY COMPONENT OF THE MEDICARE CLAIMS PROCESSING FUNCTION UNDER MEDICARE PART B USED TO PROCESS MEDICARE CLAIMS RELATED TO PHYSICIAN… $80,960

Quick answers

Who was awarded contract 75FCMC23F0114?

75FCMC23F0114 was awarded to Peraton Inc. by Centers for Medicare and Medicaid Services (Department of Health and Human Services) on September 1, 2023.

How much is contract 75FCMC23F0114 worth?

The government has obligated $80,857,937 on 75FCMC23F0114. Its potential value, with all options, is $106,962,399.

Is contract 75FCMC23F0114 an order under another contract?

Yes. 75FCMC23F0114 is a delivery order under GS35F694GA, a federal supply schedule, on Multiple Award Schedule (MAS).

Was contract 75FCMC23F0114 competed?

The extent of competition for 75FCMC23F0114 was full and open competition. The government received 2 offers.

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