Notice ID HHS-CMS-SBSS-2024-000002S-CSFES
The purpose of this contract is to procure contractor services for processing files for four (4) front-end Information Technology systems. The Customer Support Front End Systems (CSFES) are: 1. Front-End Risk Adjustment System (FERAS) a. The contractor verifies the credentials of the submitter/trading partner b. The contractor edits and validates the files c. The contractor returns files to the submitter/trading partner d. The contractor sends files to downstream system e. The contractor receives files from the downstream systems to return to the submitter/trading partner 2. Prescription Drug Front-End System (PDFS) a. The contractor verifies the credentials of the submitter/trading partner b. The contractor edits and validates the file type c. The contractor returns files to the submitter/trading partner d. The contractor sends files to downstream systems e. The contractor receives files from the downstream systems to return to the submitter/trading partner 3. Encounter Data System Front-End System (EDFES) a. The contractor verifies the credentials of the submitter/trading partner b. The contractor edits and validates the file type c. The contractor returns files to the submitter/trading partner d. The contractor edits and translates the Accredited Standards Committee (ASC) X12 files to flat files e. The contractor sends files to downstream systems f. The contractor receives files from the downstream systems to return to the submitter/trading partner 4. Medicare Medicaid Plans (MMP) Front-End System (MMFS) a. The contractor verifies the credentials of the submitter/trading partner b. The contractor edits and validates the file type c. The contractor returns improper files to the submitter/trading partner d. The contractor edits and translates the Accredited Standards Committee (ASC) X12 files and National Council for Prescription Drug Programs (NCPDP) to flat files e. The contractor sends files to downstream systems f. The contractor receives files from the downstream systems to return to the submitter/trading partner The CSFES shall receive and process all Medicare Advantage Organization (MAO) Medicare Part C, Medicare Medicaid Plans (MMP) and Part D Program data files with little to no downtime, striving for 24 hours a day, 7 days a week.
The contractor shall be responsible for the design, development, testing, and implementation for any new information technology solutions that may be required in the future. The contractor is also responsible for ongoing system operation, and maintenance for these four Front End systems. The contractor is responsible for design and development only if they are proposing a new software solution. The contractor shall not design, implement, or maintain any customized or proprietary utilities without prior approval in writing from the Contracting Officer’s Representative (COR)…
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