Nava Joined CMS Payment System Modernization Effort
The firm will assist prime contractor Corbalt on a five-year project to streamline federal Medicare claims infrastructure.
Updated on Oct. 6, 2026 in Healthcare
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Nava has partnered with prime contractor Corbalt to support the Medicare Payment System Modernization program for the Centers for Medicare & Medicaid Services. This five-year initiative aims to update the technology infrastructure that manages federal healthcare claims and payments.
Why it matters
Modernizing this infrastructure is critical because it currently processes over 1.1 billion annual claims and distributes more than $400 billion in payments for over 60 million beneficiaries. Improving these systems reduces operational bottlenecks in the federal healthcare billing pipeline.
The federal systems under modernization process over 1.1 billion claims annually, distributing more than $400 billion to over 60 million beneficiaries. The effort spans a five-year contract term and includes consolidating seven distinct contractor-run systems into one.
The players
Nava
A technology consultancy specializing in building and operating infrastructure for large-scale government programs.
Corbalt
A prime contractor providing mission-critical systems and technical services to federal government agencies.
Centers for Medicare & Medicaid Services
The federal agency responsible for administering Medicare and Medicaid, overseeing massive healthcare payment operations.
The details
Nava will focus on building and operating infrastructure to support cloud-based services for the Medicare Payment System Modernization program. The project centers on the consolidation of seven contractor-run systems into a single routing engine for Medicare claims. This builds on previous work by the firm, including the development of the Blue Button 2.0 API and the Replicated Data Access API for Part A and Part B claims.
Timeline
Nava began working with the CMS in 2015.
The firm developed a system health status page for the agency in 2022.
The launch of the Technical Consolidation of the Electronic Data Interchange system occurred in September 2026.
The partnership with Corbalt was formally announced on October 6, 2026.
The Potomac Officers Club 2026 Healthcare Summit is scheduled for December 3, 2026.
Market Landscape
This partnership represents a core component of the broader, long-term CMS Medicare Payment System Modernization program. It follows a multi-year effort to replace legacy claims routing with consolidated, cloud-native architectures.
Operators should monitor these infrastructure updates, as they often dictate new data reporting standards and API requirements for providers and billing intermediaries. If your business interacts with Medicare claims, watch for future changes to the Electronic Data Interchange specifications.
The takeaway
Nava's role in consolidating seven systems into one highlights a shift toward integrated, cloud-based federal healthcare infrastructure. Organizations handling Medicare claims should track the TCEDI rollout for potential impacts on billing workflows.
What happens next
The Potomac Officers Club 2026 Healthcare Summit, which may provide further details on this modernization roadmap, is scheduled for December 3, 2026.
Further reading
For broader trends in federal healthcare technology, see Healthcare.
Source note: This article includes information reported by ExecutiveBiz.
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