7_TCRS_Section_G_11-10-16.pdf

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TRICARE Claims Review Services
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HT9402-17-R-0002
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Section G

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SECTION G, CONTRACT ADMINISTRATION DATA

TCRS HT9402-17-R-0002, Section G Page G1 of G4

1.0 CONTRACT CLAUSES:

FAR 52.232-33, PAYMENT BY ELECTRONIC FUNDS TRANSFER--SYSTEM FOR

AWARD MANAGEMENT (JUL 2013)

DFARS 252.204-7006 BILLING INSTRUCTIONS (OCT 2005)

When submitting a request for payment, the Contractor shall—

(a) Identify each contract line item number (CLIN) on the payment request that reasonably reflects contract work performance; and

(b) Separately identify a payment amount for each contract line item included in the payment request.

(End of clause)

DFARS 252.232-7003 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS AND

RECEIVING REPORTS (JUN 2012)

(a) Definitions. As used in this clause—

(1) “Contract financing payment” and “invoice payment” have the meanings given in section 32.001 of the Federal Acquisition Regulation.

(2) “Electronic form” means any automated system that transmits information electronically from the initiating system to all affected systems. Facsimile, e-mail, and scanned documents are not acceptable electronic forms for submission of payment requests. However, scanned documents are acceptable when they are part of a submission of a payment request made using Wide Area WorkFlow (WAWF) or another electronic form authorized by the Contracting Officer.

(3) “Payment request” means any request for contract financing payment or invoice payment submitted by the Contractor under this contract.

(4) “Receiving report” means the data required by the clause at 252.246-7000, Material Inspection and Receiving Report.

(b) Except as provided in paragraph (c) of this clause, the Contractor shall submit payment requests and receiving reports using WAWF, in one of the following electronic formats that WAWF accepts: Electronic Data Interchange, Secure File Transfer Protocol, or World Wide

Web input. Information regarding WAWF is available on the Internet at https://wawf.eb.mil/.

(c) The Contractor may submit a payment request and receiving report using other than

WAWF only when—

(1) The Contracting Officer administering the contract for payment has determined, in writing, that electronic submission would be unduly burdensome to the

TCRS HT9402-17-R-0002, Section G Page G2 of G4

Contractor. In such cases, the Contractor shall include a copy of the Contracting Officer’s determination with each request for payment;

(2) DoD makes payment for commercial transportation services provided under a

Government rate tender or a contract for transportation services using a DoD-approved electronic third party payment system or other exempted vendor payment/invoicing system (e.g., PowerTrack, Transportation Financial Management System, and Cargo and

Billing System);

(3) DoD makes payment for rendered health care services using the TRICARE

Encounter Data System (TEDS) as the electronic format; or

(4) When the Government wide commercial purchase card is used as the method of payment, only submission of the receiving report in electronic form is required.

(d) The Contractor shall submit any non-electronic payment requests using the method or methods specified in Section G of the contract.

(e) In addition to the requirements of this clause, the Contractor shall meet the requirements of the appropriate payment clauses in this contract when submitting payment requests.

(End of clause)

2.0 CONTRACT ADMINISTRATION:

2.1 The Procuring Contracting Officer (PCO) is responsible for the administration of this contract and is solely authorized to take action on behalf of the Government. Unless specified otherwise within this contract, the PCO is referred to as the Contracting Officer (CO).

2.2 Contracting Officer’s Representative (COR). The CO will designate a COR in writing and provide a copy of the designation letter to the contractor. The designation letter will delineate the scope of authority of the COR to act on behalf of the CO. The COR has no authority to make any commitments or changes that affect any term or condition of the contract.

2.3 Contractor Points of Contact Personnel. The names and addresses of the contractor’s primary and alternate point of contact (POC) for contract implementation and compliance are as follows:

Primary:

Company Name:

Address:

Telephone:

Email:

Alternate:

Company Name:

Address:

Telephone:

TCRS HT9402-17-R-0002, Section G Page G3 of G4

Email:

2.4 Paying office.

Department of Defense

DEFENSE HEALTH AGENCY

ATTN: Contract Resource Management (CRM)

16401 E. Centretech Parkway

Aurora, CO 80011-9066

3.0 ORDERING: The CO shall authorize all performance by issuing task orders in accordance with the ordering terms of the contract. The CO will order the majority of the contact requirements on a single task order at the beginning of each period of performance.

3.1 The CO will issue separate task orders for the following CLINs:

3.1.1 CLIN X007, Focus Studies. (Section C, paragraph 6.5.1). Upon receiving the focus study topic from the COR, the CO shall issue a task order which will further define the requirement in terms of purpose, scope and volume, the period of performance and applicable CDRLs. (“X” in

CLIN X0007 is interchangeable for all Option Periods, for example, This CLIN for Option

Period 1, CLIN 1007, Option Period 2, CLIN 2007, Option period 3, CLIN 3007, etc.

3.1.2 CLIN X008 Medical Record Reviews. (Section C, paragraph 6.5.2). Upon receiving the

COR’s request for medical record reviews, the CO shall issue a task order which will further define the requirement in terms of purpose, scope and volume, the period of performance and applicable CDRLs.

4.0 PAYMENTS: Payments shall be in accordance with FAR Clauses 52.232-1, Payments;

52.232-8, Discounts for Prompt Payment; 52.232-18, Availability of Funds; 52.232-19, Availability of Funds for the Next Fiscal Year; and 52.232-25, Prompt Payment, as listed in

Section I.

5.0 INVOICING:

5.1 The DOD directs contractors to submit Payment Request and Receiving Reports via Wide

Area Work Flow (WAWF). The DHA Contract Resource Management Office (CRM) does not currently use WAWF for invoicing. Therefore, the contractor shall submit its payment request and receiving report via email to CRM at dha.buckley.crm.mbx.aur-crm-invoices@mail.mil.

5.2 The contracting officer will notify the contractor when to begin to invoice via WAWF once

DHA/CRM begins using WAWF.

5.3 CLIN Invoicing Instructions. Unless specified differently below, the contractor shall invoice CLINs with Unit of Issue Lot (LO) after completion of the task and COR’s acceptance of any applicable CDRLs.

mailto:dha.buckley.crm.mbx.aur-crm-invoices@mail.mil

TCRS HT9402-17-R-0002, Section G Page G4 of G4

5.3.1 CLINs 1001 through X004 Quarterly Compliance Reviews. (Section C, paragraph

6.4.2). The contractor may invoice quarterly after the tasks are completed and the COR accepts any applicable CDRLs.

5.3.2 CLINs X005 Semiannual Compliance Reviews. (Section C paragraph 6.4.2). The contractor may invoice semiannually after the tasks are completed and the COR accepts any applicable CDRLs.

5.3.3 CLINs X006 MCSC Annual Health Care Cost Audits. (Section C, paragraph 6.4.2.1).

The contractor may invoice annually after the tasks are completed and the COR accepts any applicable CDRLs.

5.3.4 CLINs X007, Focus Studies. (Section C, paragraph 6.5.1). The contractor may invoice after completion of the services and the COR’s acceptance of any applicable CDRLs.

5.3.5 CLINs X008, Medical Record Reviews. (Section C, paragraph 6.5.2) The contractor may invoice after completion of the services and the COR’s acceptance of any applicable CDRLs.

6.0 KEY PERSONNEL.

The personnel listed below are considered essential to the work being performed hereunder.

Prior to substituting, removing, replacing, or diverting any of the specified individuals, the

Contractor shall notify the Contracting Officer 15 working days in advance and shall submit a written request and justification (including proposed substitutions) in sufficient detail to permit evaluation of the impact on this Contract. The proposed substitution of personnel must meet or exceed the education, experience, and other technical requirements of the personnel being replaced. No change in personnel shall be made by the Contractor without prior written consent of the Contracting Officer. However, in urgent situations, as determined or agreed to by the

Contracting Officer, an oral request to substitute key personnel may be approved and subsequently ratified by the Contracting Officer in writing. Such ratification shall constitute the consent of the Contracting Officer required by this paragraph. The Contracting Officer will notify the Contractor within 10 working days after receipt of all required information of the decision on the substitution(s). In the event the proposed substitution of key personnel does not meet or exceed the education, experience, or other technical requirements of the personnel being replaced, the Government reserves the right to require continued performance of previously approved key personnel or to require substitution of acceptable replacements for the individuals specified below. The key personnel listed below may, with the consent of the contracting parties, be amended from time to time during the course of the Contract to either add or delete personnel as appropriate.

Name Position/Labor Category

To Be Completed by Contractor

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