2_Section_B_CLIN_Descriptions_4-4-13_clean.doc

Section B, SUPPLIES OR SERVICES AND PRICES/COSTS, Continuation

CONTRACT LINE ITEM NUMBER (CLIN) Descriptions 0001 TRANSITION-IN/PHASE- IN, (CLIN 0001). This CLIN establishes a fixed price for transition-in services (CLIN 0001) as defined in Section C, Description/Specifications/Work Statement, and the TRICARE Manuals. This amount shall include all costs and profit anticipated in performance of transition-in/phase-in services including security (Physical, Personnel and NIST) certifications to accomplish the requirements of the contract.

0002 Not Separately Price (NSP). Contract Data Requirements List (CDRL) documents are prepared and delivered for base period and each option period in accordance with Section C, Description/Specifications/Work Statement, the TRICARE Manuals and Section J, List of Attachments. Data preparation and delivery costs are included in Administration CLINs 0X02.

0X00 ELECTRONIC CLAIMS PROCESSING. This activity includes CLINs 0100, 0200, 0300, 0400, 0500 and 0600 This CLIN establishes a fixed rate for electronic claims processing for each option period. These rates will include all costs associated with electronic claims processing including adjudication, TED creation/submission requirements and payment as defined in Section C, Description/ Specifications/Work Statement, and the TRICARE Manuals. Electronic claims processing rates shall not include costs for customer service, appeals, marketing, advertising, management, or overhead not associated with adjudicating the claim. The Government has established an estimated claims volume for each option period as provided in Section B, Supplies or Services and Prices/Costs.

0X01 PAPER CLAIMS PROCESSING. This activity includes CLINs 0101, 0201, 0301, 0401, 0501 and 0601 This CLIN establishes a fixed rate for paper claims processing for each option period. These rates will include all costs associated with paper claims processing including adjudication, TED creation/submission requirements and payment, as defined in Section C, Description/ Specifications/Work Statement, and the TRICARE Manuals. Paper claims processing rates shall not include costs for customer service, appeals, marketing, advertising, management, or overhead not associated with adjudicating the claim. The Government has established an estimated claims volume for each option period as provided in Section B, Supplies or Services and Prices/Costs.

0X02 ADMINISTRATION. This activity includes CLINs 0102, 0202, 0302, 0402, 0502 and 0602 This CLIN establishes a fixed monthly price for administration for each option period. The prices for these CLINs will include all administrative costs including customer service, appeals, marketing, advertising, management, security (Physical, Personnel and NIST), and overhead not associated with adjudicating the claim as defined in Section C, Description/Specifications/ Work Statement, and the TRICARE Manuals. Administration rates shall not include costs included within the offeror’s claims processing rates.

010201 NSP DATA Contract Data Requirements List (CDRL) documents are prepared and delivered for base period and each option period in accordance with Section C, Description/ Specifications/Work Statement, the TRICARE Manuals and Section J, List of Attachments. Data preparation and delivery costs are included in Administration CLINs 0X02.

0X03 TRANSITION-OUT. This activity includes CLINs 0103, 0203, 0303, 0403, 0503, 0603)

This CLIN establishes a fixed price for transition-out services for each option period. This amount shall include all costs anticipated in performance of transition-out/phase-out services as defined in Section C, Description/Specifications/Work Statement, and the TRICARE Manuals. Although priced for each option period, transition-out shall occur only once during the life of the contract. The transition-out period will run concurrently with the last exercised option period of the contract.

TDEFIC HT9402-12-R-0005, Section B