Official word is now out that Peraton, a major partner to CMS, at the forefront of delivering the next big thing every day, AND HealthEdge, a leading technology solutions provider connecting health plans, providers, and patients with end-to-end digital technology solutions to support new business models, reduce administrative costs and improve health outcomes, were named awardees for this major modernization initiative driven by the Centers for Medicare & Medicaid Services (CMS) to replace its outdated, fragmented Medicare fee-for-service claims processing systems with a unified, cloud-based platform.
Awardee Name: PERATON INC.
Total Contract Value: $825,926,306.87
Action Obligation: $9,150,543.66
Award ID: 75FCMC26C0014
Awardee Name: HealthEdge Software, Inc.
Total Contract Value: $1,149,775,171.50
Action Obligation: $2,499,999.96
Award ID: 75FCMC26C0015
Funding Agency: CENTERS FOR MEDICARE AND MEDICAID SERVICES
Number of Bidders: 4
RFP ID: 75FCMC26R00220003
Start Date: 2026-05-29
Ultimate Completion Date: 2033-11-28
Notice ID: 75FCMC26R0022
Important Note: While the potential value of ClaimsCore is substantial, the competition is far from decided. CMS has selected Peraton and HealthEdge to move forward, but both teams are expected to spend the coming months proving their respective solutions as part of the agency’s modernization effort. The initial funded contract values are relatively small compared to the overall ceiling, reflecting the fact that this phase is focused on concept validation rather than full-scale implementation. If CMS proceeds as anticipated, only one solution is expected to emerge as the long-term platform supporting the agency’s effort to modernize Medicare fee-for-service claims processing.
