Request for Solutions (RFS): Autonomous Coding (AC) and Automated Appeals & Denials Management (ADM)
Department of Defense · Defense Health Agency (DHA) · DEFENSE HEALTH AGENCY
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Solicitation details
Solicitation number
HT0038RFSACADM
Notice type
Solicitation
NAICS
541511
Product service code
DA01
Set-aside
Unrestricted
Posted
2026-08-17
Response deadline
Aug 28, 2026, 2:00 PM UTC
Place of performance
Rosslyn, VA
Contracting contact
sharjeel.j.javaid.civ@health.mil
Market intelligence
Account requiredWho wins this work, and what it pays
Comparable awards under NAICS 541511 at this agency — the incumbent, what they were paid, when their period of performance ends, and the real pricing distribution rather than the headline number. From public federal award records.
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.
Contact
Point of contact
Sharjeel Javaid
Role
not stated on this notice — SAM publishes a role for only about 5% of them, so this may be a contract specialist rather than the contracting officer
Email
sharjeel.j.javaid.civ@health.mil
Secondary
dominique.u.brown.civ@health.mil
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