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Q -- REQUEST FOR INFORMATION (RFI) TNEX MANAGED CARE SUPPORT

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Reference-Number-02-0522AFederal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

AI Contract Overview

The contract outlines preliminary requirements for a Managed Care Support service aimed at improving the timeliness and quality of health information exchange within the TRICARE system. The primary obligations include ensuring that network specialty providers submit legible consultation, operative, and discharge documentation to the beneficiary's primary care managers—both military and civilian—within five working days. In urgent or emergent cases, a preliminary consultation report must be communicated within one hour via telephone, fax, or other methods, with a formal written report following promptly. The preferred delivery method for Military Treatment Facility providers is electronic transmission. Additionally, for Active Duty members and Military Treatment Facility Prime enrollees, the contractor is tasked with guaranteeing that network providers send a comprehensive suite of clinical documents—such as encounter notes, consultation reports, operative and admission reports, lab results, radiology, pathology reports, and discharge summaries—to a central Department of Defense data repository electronically within five working days of the service or test completion. The contract stresses the importance of comment and feedback on each proposed data element, specifying that text-based formats should be used for reports and HL-7 format for laboratory results. This solicitation, issued by the Defense Health Agency under the Department of Defense, is an open request for input from the healthcare industry to refine these evolving requirements.

General Info

Managed Care Support contract ensures timely, electronic health data exchange within TRICARE system.

Agency

Department Of Defense → Defense Health Agency

NAICS

923120 - Administration of Public Health Programs

Place of Performance

Set-Aside

NONE

Documents

No documents available

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AI Contract Breakdown

Uniform Contract Format

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Timeline

PostedMay 22

special-notice

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Organization & Contact Information

AgencyDepartment Of Defense → Defense Health Agency

ContactsNo contacts available

OfficeAURORA, CO, 80011, USA

Organization / AgencyDepartment Of Defense → Defense Health Agency

Office AddressAURORA, CO, 80011, USA

ContactsNo contact information available

Full Description

The following are proposed requirements for the Managed Care Support Contract. We are asking the health care industry for any comments, recommendations, and impacts on TRICARE, or other input one would wish to make. These are requirements under consideration and should not be taken as final. Thank you for your response. Please respond by close of business June 14, 2002 by using e-mail: contact@example.gov - This is also available on the website: - www.tricare.osd.mil.pmo/t-nex/healthcare.cfm - First Requirement: The contractor shall ensure that network specialty providers provide clearly legible specialty care consultation or referral reports, operative reports, and discharge summaries to the beneficiary's primary care manager, both military and civilian, within five working days of the specialty encounter. In urgent/emergent situations, a preliminary report of a specialty consultation shall be conveyed to the beneficiary's primary care manager within one hour by telephone, fax or other means with a formal written report provided within the standard (preferred method of delivery to MTF providers is electronically). Second Requirement: For all Active Duty members and MTF Prime enrollees, the contractor shall ensure that network providers, either directly or through the contractor (but not both), provide the following information electronically to the central DoD location within 5 working days of the encounter or test completion: Encounter notes, Consultation or referral reports, Operative reports, Admission reports, Lab results, Radiology reports, Pathology reports and Discharge summaries. Please comment on each data element proposed. NOTE: Report data elements are to be in text format and lab results are to be in HL-7 message format.