Notice of Intent -Outpatient Prospective Payment System (OPPS) Pricer Software
Closed Special Notice Posted
Not the latest version. See the latest pre-solicitation from .
- Solicitation number
- HT0015-25-RFI-0002
- Agency
-
Defense Health Agency
Department of Defense
- Responses due
- Set-aside
- No set-aside
Opportunity facts
- NAICS code
- 513210 Software Publishers
- Place of performance
- Jbsa Ft Sam Houston, Texas 78234, United States
Notice details come from SAM.gov. Updated .
About this opportunity
The Defense Health Agency (DHA) at Ft Sam Houston, TX has issued a Special Notice expressing its intent to award a sole source firm fixed price contract to 3M for Outpatient Code Editor (OCE) Software and TRICARE Pricer Software. The contract will have a base period of performance from December 22, 2024 to December 21, 2025, with two one-year option periods.
The purpose of this Special Notice is to obtain software that is compatible with the 3M mainframe and PC software currently used by the TRICARE Health Plan to audit and verify the accuracy of hospital outpatient claim payments. The 3M OCE Software edits and processes hospital outpatient claims, while the TRICARE Pricer Software determines pricing based on the OCE output. DHA is statutorily mandated to follow the Centers for Medicare and Medicaid Services (CMS) reimbursement rules, and the 3M software has been authorized by CMS. All interested sources may submit capability statements and evidence demonstrating their authority to provide the required software. If no responses are received, a sole source award will be made to 3M.
Notice text
The Defense Health Agency (DHA), Ft Sam Houston, TX intends to issue a sole source contract award to 3M for Software (SW) with a base period of performance beginning 22 December 2024 – 21 December 2025, and Two (2) one (1) year options.
The 3M Outpatient Code Editor (OCE) Software, edits and processes hospital outpatient claims and the TRICARE Pricer Software, determines how to price claims based on the output from the TRICARE OCE which coincides with that of the Centers for Medicare and Medicaid Services (CMS).
TRICARE Health Plan (THP) is responsible for editing and processing hospital outpatient claims for TRICARE eligible beneficiaries. The fundamental functionality required by THP is for the licensing of a mainframe version of a TRICARE specific Outpatient Prospective Payment System (OPPS) Pricer. Both, 3M’s OCE and Pricer, are compatible with the 3M mainframe and licensing PC software currently used by THP which sanctions the auditing and verification of accuracy of payment for hospital outpatient claims. Additionally, THP is statutorily mandated to follow CMS’ reimbursement rules, and 3M’s OCE and Pricer software have been authorized by CMS.
All interested sources may submit a capability statement that identifies business size, along with authorized letter from the manufacturer with detailed information and convincing evidence that clearly demonstrates the authority to provide the software as outlined above.
Files
| File | Type | Posted |
|---|---|---|
| NOTICE OF INTENT - 3M.pdf |
Notice history
| Notice | Type | Posted |
|---|---|---|
| Sources Sought -Outpatient Prospective Payment System (OPPS) Pricer Software | Pre-Solicitation | |
| This notice | Special Notice |
On GovTribe
Work this opportunity
- Track it in your pipeline
- Find teaming partners
- Similar opportunities
- Ask GovTribe AI about this opportunity