TRICARE Claims Review Services (TCRS)
Overview
Buyer
Place of Performance
NAICS
PSC
Set Aside
Original Source
Timeline
Qualification Details
Fit reasons
- NAICS alignment with historical contract wins in similar service areas.
- Scope strongly matches core technical capabilities and delivery model.
Risks
- Past performance thresholds may require one additional teaming partner.
- Potential clarification needed on staffing minimums before bid/no-bid.
Next steps
Validate eligibility requirements, assign capture owner, and schedule partner outreach to confirm teaming strategy before submission planning.
Quick Summary
The Defense Health Agency (DHA) has issued a Notice of Intent (NOI) to extend the existing TRICARE Claims Review Services (TCRS) contract with Concept Plus for up to 12 months. This is a sole-source bridge action, pursuant to DFARS 206.302-1, to prevent a critical service gap while a competitively awarded follow-on contract is transitioned. Capability statements from interested parties are due by February 13, 2026.
Scope of Work
The TCRS contract supports the DHA Improper Payment Evaluation Branch (IPEB) by:
- Evaluating the accuracy of claims payment and payment record coding under TRICARE.
- Identifying and reporting improper payments and discrepancies in payment recording for the Military Health System (MHS).
- Assessing purchased-care contractor compliance with TRICARE policies and directives.
- Supporting IPEB's requirement to report improper payments to OMB for the DoD Agency Financial Report (AFR).
Contract & Timeline
- Type: Special Notice (Notice of Intent / Sole-Source Bridge Action)
- Current Contractor: Concept Plus
- Extension Period: March 1, 2026 – February 28, 2027 (up to 12 months)
- Reason for Extension: To prevent a gap in critical support after the current contract ends on February 28, 2026, until a competitive follow-on contract is awarded and the new awardee completes a minimum 6-month transition-in period.
- Set-Aside: None specified (sole-source action)
- Response Due: February 13, 2026, at 21:00 UTC
- Published: February 7, 2026
- Place of Performance: Aurora, CO
Interested Parties
Interested parties capable of providing similar services may submit a capability statement outlining their ability to perform the described work. The government will consider these statements solely for determining whether to conduct a competitive procurement, and the decision to compete remains at their discretion.
Contact Information
Primary Point of Contact: Gregory R. Stephens (gregory.r.stephens3.civ@health.mil)