P02 RFI 36C10B23C0023 P00002.pdf

Request for Information 3M Grouper Plus Content Services (GPCS) Software as a Service

Introduction:

This is a request for information (RFI) only. This RFI is for planning purposes only and shall not be considered an Invitation for Bid, Request for Task Execution Plan, Request for Quotation or a Request for Proposal. Additionally, there is no obligation on the part of the Government to acquire any products or services described in this RFI. Your response to this RFI will be treated only as information for the Government to consider.

You will not be entitled to payment for direct or indirect costs that you incur in responding to this RFI. This request does not constitute a solicitation for proposals or the authority to enter into negotiations to award a contract. No funds have been authorized, appropriated or received for this effort. Interested parties are responsible for adequately marking proprietary, restricted or competition sensitive information contained in their response. The Government does not intend to pay for the information submitted in response to this RFI.

The North American Industry Classification System (NAICS) for this requirement is 513210.

The required start date for this requirement is May 23, 2025.

Please reference the included Draft Product Description for full details on the current contract, implemented solution, and proposed additions.

The Government is contemplating adding the following software to Option Period Two of Contract 36C10B23C0023:

Part No. Description Quantity

RHSP TRICAR GPCS TRICARE DRG Grouping & Reimbursement 1

GPCS TRIOPP GPCS TRICARE APC Grouper with OPPS Reimbursement

GPCS TOPT GPCS TRICARE Outpatient Pricer Tables 1

VA Financial Services Center (FSC) and Veterans Health Administration (VHA) awarded contract 36C10B23C0023 on May 23, 2023, to fulfill a requirement for an enterprise GPCS SaaS solution in order to automate its healthcare claims pricing methodologies. VA FCS requires the GPCS solution to integrate with the existing medical claims processing system, the electronic Claims Administration and Management System (eCMAS) Health Care Engine (HCE). eCAMS HCE is a centralized and configurable healthcare claims processing platform that supports VA claims processing business functions, including pricing methodologies, and is capable of adjudicating, processing, and preparing payment of claims by healthcare providers.

The eCAMS HCE platform supports a minimum of 85 percent of all claims transactions as auto-adjudicated with straight through processing, with no human touch points or human interaction.

The current contract utilizes 3M Grouper Plus Content Services Software as a Service to fulfill the requirement. Additional capabilities are now required to process medical claims processing for the VA’s Family Member Program that uses Tricare pricing for its claims.

The Government is seeking possible alternate solutions to the required added capability. The requirements for any alternate solution include:

1. Full interoperability with the currently installed and configured Solventum GPCS solution.

2. Full interoperability with the eCAMS HCE environment and an as-is basis.

3. Capability to process medical claims utilizing Tricare pricing.

4. Contractor must be able to provide maintenance support services to include software upgrades, updates, enhancements, and corrections within five (5) business days.

5. Contractor shall provide remote and telephonic technical support 24 hours a day, seven (7) days a week.

6. Contractor and solution must be FedRAMP compliant.

7. Must be able to be implemented and fully operational by May 23, 2025.

Interested contractors with a possible alternate solution may submit a capabilities statement containing the following information:

1. The proposed software solution

2. Information as to how the proposed solution can be implemented with the currently configured solution without a requirement to significantly reconfigure the current software solution or eCMAS HCE environment.

3. Information as to any benefits gained from the alternate solution over the current contemplated software addition.

4. Information as to any risks involved with accepting the recommended alternate solution.

5. Rough Order Magnitude pricing for implementing the proposed alternate solution.

All responses must be transmitted via email to James Morgan, Contract Specialist, at james.morgan10@va.gov and John Fields, Contracting Officer, at john.fields3@va.gov no later than April 24, 2025, 3:00 pm Eastern. Please note “GPCS Alternate Solution” in the subject line of your response. Mark your response as “Proprietary Information” if the information is considered business sensitive.

mailto:james.morgan10@va.gov mailto:john.fields3@va.gov