WPSI Gets 7-Year Contract to Administer Dual TRICARE/Medicare Claims

The Wisconsin Physicians Service Insurance Corp. of Madison, WI received the follow-on TRICARE Dual Eligible Fiscal Intermediary Contract. It covers claims processing, customer service and administrative services for individuals who are eligible for both TRICARE (the US military health benefits program) and Medicare (the US public health benefits program). Future medical costs are a serious long term issue for both programs, but this move simply covers administrative necessities.

The contract includes a 12-month base period and 6 more 12-month option periods, for a total of 7 years if all options are exercised. The base period for transition is August 1, 2007 – June 30, 2008, and delivery for the TDEFIC for claims processing, customer service and administrative services will begin on July 1, 2008 if option 1 is exercised. The estimated delivery order value through the Option 1 period is $92.7 million.

This contract was competitively procured via the TRICARE Management Activity e-solicitation Web site, with 2 offers received by the Department of Defense TRICARE Management Activity (H94002-07-0001).