RFP Attachments.zip

This document is a Request for Proposals (RFP) for the TRICARE Claims Review Service (TCRS) contract issued by the Defense Health Agency (DHA). The key details are:

The TCRS contractor will audit compliance and assess the accuracy of claims processing for TRICARE purchased care contracts including the Managed Care Support Contracts, TRICARE Medicare Eligible Program, TRICARE Pharmacy Program, TRICARE Overseas Program, and the Active Duty Dental Program. The objective is to support DHA's implementation and compliance with the Payment Integrity Information Act of 2019. The RFP solicitation number is HT940224R0002. The contract will support DHA's mission to achieve greater integration of the direct and purchased health care delivery systems. No award date or pricing terms are provided in the information given.