Consolidated Teaming List and Info.pdf

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TRICARE CLAIMS REVIEW SERVICE (TCRS) DRAFT RFP
Solicitation number
HT9402-21-R-0002
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Defense Health Agency – TRICARE Claims Review Service (TCRS)

Solicitation HT940221R0002

List of Parties Interested in Subcontracting/Teaming

The following companies have expressed interest in possibly performing in a subcontracting/teaming capacity for the upcoming TCRS requirement:

1. ARC Healthcare

2. Claim Technologies, Inc

3. Defense Contract, Inc Solutions (DCI Solutions)

4. Deloitte Financial Advisory Service LLP

5. Gordon, LLC

6. Mindleaf Technologies Inc

The following pages include information that each company has requested be shared.

This is a living document, and any updates will be posted to SAM.gov.

*Disclaimer: Information included within this document has been provided at the request of the listed parties, and without any endorsement or assurances from the United States

Government or Defense Health Agency

ARC Healthcare:

Claim Technologies:

ABOUT CLAIM TECHNOLOGIES INCORPORATED

Veteran-Owned Small Business

Claim Technologies Incorporated (CTI) is a veteran-owned small business and Chapter S Iowa

Corporation founded in 1990. We conduct business from our Des Moines, Iowa office.

Our Mission

For over 30 years it has been CTI’s mission to help self-funded health plan sponsors reduce claim expense and improve service through independent audit and control of their third-party claim administration. While others may claim leadership in healthcare claims auditing, CTI pioneered the use of continuous quality improvement (CQI) techniques to better understand and improve administrator performance. Because we are an independent auditor, focused solely on claim administration, we are often hired by benefit consultants, public accounting, and actuarial firms to conduct healthcare claim audits for their clients. Our time-tested approach and years of industry experience allow us to contribute additional context to existing and future challenges facing our clients and the claim administrators who serve them.

What Sets Us Apart

Proprietary Audit Systems

CTI’s proprietary audit system is unmatched. Most competitors today use some technological tools in their health claim audits. But CTI’s computer-driven audit system is completely automated and fully integrated. We use a consistent, systematic approach to deliver thorough and accurate results. In the 30 years since we pioneered this computer-driven approach to health plan auditing, we’ve continued to enhance our audit system to adapt to industry trends, technological advances, and client-specific needs. Over the years we have invested thousands of hours to the ongoing development of these systems. We’ve got this down to a science, allowing us to audit more efficiently and deliver a greater return on audit investment.

Audit Methodology

CTI’s audit methodology is rooted in statistical process control and enhanced by a philosophy of

CQI. This methodology allows us to ensure a high degree of consistency in our approach to healthcare claim auditing. Efficient planning and maximized use of our proprietary systems and technology produces a streamlined audit product requiring fewer hours to complete than that of our competitors. When combined with the knowledge and experience of our long-tenured audit professionals, we significantly reduce the amount of time it takes to conduct an audit.

Auditor Experience

Healthcare claim auditing is all we do – allowing us to be completely independent and objective for our clients. CTI auditors have an average of 30 years’ experience, and all have insurance or third-party administrator experience.We are confident in our knowledge of administrator systems, processes, and procedures. In fact, our auditors have reviewed claims adjudicated by more than 200 third-party administrators in the last five years – including industry giants like

Aetna, UnitedHealthcare, Blue Cross Blue Shield, and Cigna.

Repeat Business

Our longest standing client relationship has spanned 16 years. During that time, we have conducted over 85 audits of their administrators. We pride ourselves on going above and beyond for our clients and we credit 80% of our revenue each year to repeat business.

Who We Serve

CTI values our long-term relationships with self-funded plan sponsors. We have served 20 state government health plans and worked with numerous counties, municipalities, school districts, and universities, the Federal Reserve System, the United States Postal Service, and Amtrak. In addition to serving public entities, we also work for leading private sector companies such as

Corteva/DuPont, BAE Systems, Anheuser-Busch, Ingersoll Rand, and Tyson Foods. In the past five years, we have conducted nearly 700 independent healthcare audits.

Data Security

CTI maintains the American Institute of CPAs (AICPA)'s Service Organization Control reporting platform SOC 2 compliance for data security.

CONTACT INFORMATION

Proposal Contact

Randall J. Brandt

Vice President

Telephone: (515) 244-7322 rbrandt@claimtechnologies.com < Caution-mailto:rbrandt@claimtechnologies.com >

Corporate Headquarters

Claim Technologies Incorporated 100 Court Avenue – Suite 306 Des Moines, IA 50309 Telephone: (515) 244-7322 http://www.claimtechnologies.com mailto:rbrandt@claimtechnologies.com

DCI:

POC: Christina Hercek Email: chercek@dci-solutions.com Phone: 443-220-6441

Deloitte:

Deloitte Financial Advisory Service LLP POC: Barton Bishop, bbishop@deloitte.com;

703.423.9407

Gordon:

GORDON is proficient in Compliance Auditing & Consulting Medical Review Coding & Billing Reimbursement & Improper Payment Provider Screening Project Management governmentrelations@gordon-llc.com

(301) 363-9186

Mindleaf:

Name of the Company: MindLeaf Technologies Inc Address: Connector Park, 59 Lowes Way, Ste 104, Lowell, MA 01851 (781)275-1845 (781)275-1847 www.mindleaf.com Cage Code: 1FWR3 Business Standard: Small Disadvantaged Business Point of Contact: Paresh K Shah Email: pshah@mindleaf.com and/or 781-275-1845 x 6202 Experience with DHA: Prime Contractor – Medical Support Services, CONUS + OCONUS operations.

mailto:bbishop@deloitte.com mailto:governmentrelations@gordon-llc.com

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