HP Snags $200 Million Medicare Claims Contract

Palo Alto, Calif.'s HP Enterprise Services has been awarded a $200 million contract for Medicare Part B claims processing by the U.S. Centers for Medicare and Medicaid Services (CMS).

Under the contract, HP will provide applications support and maintenance services, including full development life cycle support for system maintenance and enhancements. The company will help implement large-scale legislative mandates, such as HIPAA 5010 transactions and ICD-10 code sets; consolidate processing cycles or establish new MACs system environments within the CMS enterprise data centers; and develop new MCS system interfaces in support of the CMS National Level Repository.

HP initially was awarded a Part B Shared System Maintainer contract in 1997. This Medicare Part B Shared System Maintainer contract is for one base year with seven one-year renewal options, and was awarded under the Enterprise System Development indefinite-delivery-indefinite-quantity contract vehicle awarded to HP Enterprise Services by CMS in 2007, when it began using CMMI Level 5.

HP will also deliver related system maintenance and transition support to the Healthcare Integrated General Ledger Accounting System, the statement says. This system exchanges data with the MCS for the processing of claim billing information, provider profile information, beneficiary profile information, check reconciliation, payment information and other claim-related data, it explains.

Nathan Golia is senior editor of Insurance & Technology. He joined the publication in 2010 as associate editor and covers all aspects of the nexus between insurance and information technology, including mobility, distribution, core systems, customer interaction, and risk ... View Full Bio