Procurement Summary
Country: USA
Summary: Request for Solutions Rfs Autonomous Coding Ac and Automated Appeals Denials Management Adm
Deadline: 28 Aug 2026
Posting Date: 18 Aug 2026
Other Information
Notice Type: Tender
TOT Ref.No.: 147424147
Document Ref. No.: HT0038RFSACADM
Competition: ICB
Financier: Self Financed
Purchaser Ownership: Public
Tender Value: Refer Document
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Login to see detailsTender Details
August 17, 2026: Revision 2, RFS has been extended to 8/28/2026 to allow the government additional time to respond to questions. Question period has not been extended.
August 5, 2025: Revision 1, to correct the SAM.gov solicitation close date to 8/19/2026
Request for Solutions (RFS): Autonomous Coding (AC) and Automated Appeals & Denials Management (ADM)
Opportunity Overview
The Defense Healthcare Management Systems Modernization (DHMSM) Program Management Office (PMO), in conjunction with the Defense Healthcare Management Systems Program Executive Office (DHMS PEO) is seeking innovative, Artificial Intelligence and Machine Learning (AI/ML) enabled solutions to enhance healthcare delivery and strengthen financial recovery operations across the Military Health System (MHS).
Pursuant to 10 U.S.C. § 4022, the Government intends to award one or more prototype Other Transaction Agreements (OTAs) through this competitive Request for Solutions (RFS) process.
Under this RFS, the DHMSM PMO is seeking solutions for two distinct capability areas. Industry partners may submit a solution for either capability individually or for both capabilities:
Capability 1: Autonomous Coding (AC) - A solution that uses advanced, human-like AI/ML computational processes to assign medical billing codes from clinical documentation without human intervention, while maintaining full auditability and explainability.
Capability 2: Automated Appeals & Denials Management (ADM) - A phased, automated solution designed to address backlogged aged Accounts Receivable (A/R), improve first-pass claim success, accelerate documentation release, and automate the generation and submission of appeals to third-party payers.
Important Instructions for Interested Parties
Interested parties are strongly encouraged to review the attached documents in their entirety for complete details regarding this opportunity, including submission requirements and other specific instructions.
Notice ID: ht0038rfsacadm
Department/Ind. Agency: dept of defense
Sub-tier: defense health agency (dha)
Office: defense health agency
Product Service Code: da01 - it and telecom - business application/application development support services (labor)
NAICS Code: 541511 - Custom Computer Programming Services
Inactive Dates: sep 12, 2026
Inactive Policy: 15 days after date offers due
Documents
Tender Notice
Documents.zip