Claims Processing Functional Expertise

This contract involves providing subject matter expertise in Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) claims processing, with a focus on Medicare Part B policies and the associated system logic. The goal is to support accurate claims handling to minimize errors and prevent disruptions to the program. This expertise is critical to ensuring compliance with Medicare regulations and helping to maintain the integrity and efficiency of the claims processing system. The subcontract, titled "Claims Processing Functional Expertise," falls under the NAICS code 541611, which covers administrative management and general management consulting services. It was posted on May 27, 2026, and is managed by the Office of Acquisition and Grants Management within the Department of Health and Human Services. The place of performance is identified with the zip code 22042, though specific city and state details are not provided. The contract emphasizes the need for thorough knowledge of Medicare policies and operational procedures to support the successful administration of claims related to DMEPOS.