1.0 Purpose of this RFI
This Request for Information (RFI) is being issued by TRICARE Management Activity (TMA) Contract Operations Division - Falls Church (COD-FC) to conduct market research on the industry's capabilities to perform development services to enhance the Defense Health Services Systems (DHSS) TRICARE Encounter Database (TED) and Purchased Care Data Warehouse (PCDW) applications by adding the National Provider Identifier (NPI) on the National Plan and Provider Enumeration System (NPPES) and modifying the TED Provider Record (TEDPRV) to include the institutional provider taxonomy.
2.0 Background
TRICARE Encounter Data (TED) records, collects, verifies, and tracks billions of dollars annually in purchased care claims for the DoD Military Health System (MHS). Most TED records validate claim payments within 24 hours resulting in shorter billing cycles and reimbursements paid within 30 days, one of the fastest claims processing cycles in the healthcare industry. Healthcare providers submit claims to insurance carriers for payments of services rendered to TRICARE beneficiaries. The carriers then electronically transmit their claims payment information to TRICARE, using TED.