This Sources Sought opportunity from Department Of Justice was posted on June 30, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

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Historical Medical Claims Data Analysis

Closed

15BCMS26N70000003Federal

Submission Closed07/02/2026, 03:00:00 PM UTC

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

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AI Contract Overview

The Federal Bureau of Prisons, under the Department of Justice, is conducting market research through a Sources Sought Notice to evaluate the availability of commercial capabilities for analyzing approximately two million historical medical claims. This effort is strictly non-binding and intended to inform future acquisition decisions, including potential small business set-asides, pricing models, and acquisition strategy. The analysis will focus on identifying patterns of fraud, waste, and abuse—such as duplicate claims, inappropriate procedure codes, billing outliers, and discrepancies between billed rates and Medicare fee schedules—using only de-identified historical data with no personally identifiable information included. The contractor must deliver a comprehensive suite of analytical reports within sixty calendar days of receiving the data, including rankings of providers, patients, facilities, and procedure codes by total billed amounts, alongside comparative assessments of billing against Medicare rates. The Government emphasizes the use of commercially available, closed-source artificial intelligence tools to enhance the efficiency and accuracy of the analysis, explicitly prohibiting custom AI model development. All AI capabilities must include human validation processes and ensure complete protection of Protected Health Information and other sensitive data in compliance with federal privacy and cybersecurity standards. Respondents are required to submit a single Budgetary Firm-Fixed-Price estimate covering all labor, software, AI licensing, reporting, and quality assurance costs without itemizing labor hours or rates. Companies must provide their UEI, CAGE Code, GSA MAS contract details, socioeconomic status, and demonstrate relevant experience analyzing large healthcare claims datasets. Small businesses must justify their capability to perform the full requirement as prime contractors and disclose any anticipated subcontractors. Responses must be submitted in a searchable PDF format not exceeding fifteen pages to [email hidden] by July 2, 2026. The Government will not reimburse any costs incurred in responding and reserves the right to use the information gathered to shape future solicitations, though no contract award is guaranteed or implied by this notice.

General Info

Federal Bureau of Prisons seeks commercial AI solutions to analyze 2 million medical claims for fraud and anomalies within 60 days.

Agency

Department Of Justice → Fao

NAICS

541690 - Other Scientific and Technical Consulting Services

Place of Performance

Washington, DC, 20534, USA

Set-Aside

NONE

Documents

Sources Sought Notice RFI for Historical Medical Claims Data Analysis Services

sources-sought

Low

AI Contract Breakdown

Uniform Contract Format

Timeline

PhaseClosed

PostedJun 30

Sources Sought

Response DeadlineJul 2

Deadline has passed

Submission Closed

07/02/2026, 03:00:00 PM UTC

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Organization & Contact Information

AgencyDepartment Of Justice → Fao

Contacts2 people available

OfficeGRAND PRAIRIE, TX, 75051, USA

Organization / AgencyDepartment Of Justice → Fao

Office AddressGRAND PRAIRIE, TX, 75051, USA

Contacts

Kristen Fisher

Jared Hamblin

Full Description

Sources Sought Notice / Request for Information (RFI)

Historical Medical Claims Data Analysis Services

1. Purpose

This Sources Sought Notice/Request for Information (RFI) is issued solely for market research purposes in accordance with Revolutionary FAR Overhaul (RFO) Part 10 and RFO Subpart 8.4. This notice is not a solicitation and does not constitute a commitment by the Government to award a contract.

The Government seeks information from contractors to determine the availability of qualified sources, evaluate the capabilities of small business concerns, identify commercially available solutions, obtain budgetary pricing information, and assist in determining the appropriate acquisition strategy, including whether a socioeconomic set-aside is appropriate.

The Government will not reimburse respondents for any costs incurred in responding.

2. Background

The Federal Bureau of Prisons (BOP) is conducting market research for professional analytical support services to evaluate approximately 2,000,000 historical medical claims.

The effort is analytical in nature and will support evaluation of Medicare reimbursement methodologies and future acquisition planning. The contractor will not perform claims adjudication, claims processing, utilization management, provider network management, or payment administration.

The analysis will be used to examine the data for fraud, waste, and abuse; as well as to identify trends within the claims data such as over-use or over-billing including duplicate charges. No current real-time data will be provided as this analysis is solely intended for historical evaluation. Additionally, no personally identifiable information (PII) will be provided in the dataset.

3. Draft Requirement

The contractor shall furnish all personnel, management, commercial software, analytical tools, and other resources necessary to analyze approximately 2,000,000 historical medical claims.

The analysis deliverables shall include:

Duplicate claims
Inappropriate procedure code based on included diagnostic code
Outliers (overuse) of specific procedure codes by specific providers and/or sites
Comparison of billed rates to Medicare rates, reported as a percentage of Medicare rates
Ranking of providers by amount billed
Ranking of patients by amount billed
Ranking of sites (facilities) by amount billed
Ranking of procedure codes by amount billed
Ranking of providers by procedure code

The data provided by the Government will include:

Claim ID
Patient gender
BOP internal patient ID number
Authorization number
Payor/institution information (name, city, state)
Diagnostic codes
Service Dates
Procedure (CPT) codes
Procedure description
Charge amount
Billing provider information (NPI, ID number, name)
Providing facility information (name, NPI)

4. Commercial Artificial Intelligence (AI)

The Government is interested in commercially available AI-enabled capabilities that could improve the efficiency, quality, and timeliness of the required analyses. The Government is not seeking development of a custom AI model.

Respondents should describe proposed commercial AI tools, the analytical functions they support, human validation processes, protection of PHI/PII and other sensitive information, and whether the capabilities are available under the respondent's GSA MAS contract (if applicable).

Please note that this needs to be a closed source AI model.

5. Performance Timeline

The contractor shall complete the required analyses and provide all required reports and recommendations within sixty (60) calendar days after the Government provides the historical claims data.

Respondents should identify any assumptions affecting their ability to meet this schedule.

6. Security

The contractor may have access to Protected Health Information (PHI), Personally Identifiable Information (PII), and other sensitive Government information. Respondents should assume compliance with all applicable Federal privacy and cybersecurity requirements.

7. Applicable Classifications

NAICS (under consideration): 541611
PSC (under consideration): R405

Respondents may recommend alternative classifications with supporting rationale.

8. Information Requested from Industry

Please provide:

Company name
UEI
Cage Code
Business size and socioeconomic status
GSA MAS contract number (if applicable)
Applicable SIN(s) (if applicable)
Confirmation that the required services are within the scope of your awarded SIN(s) (if applicable)
Primary Point of Contact

Relevant experience involving large healthcare claims datasets, Medicare reimbursement methodologies, healthcare reimbursement analysis, healthcare financial analysis, or statistical analysis of healthcare claims. Include customer, period of performance, scope, dollar value, and approximate number of claims analyzed.

Describe your technical approach, analytical methodology, software platforms, quality assurance processes, and any commercially available AI capabilities proposed.

If your organization qualifies as a small business, describe your ability to perform the entire requirement as the prime contractor and identify any anticipated subcontractors.

9. Budgetary Firm-Fixed-Price Estimate

For market research purposes only, respondents are requested to provide one Budgetary Firm-Fixed-Price estimate for completing the analysis of approximately 2,000,000 historical medical claims.

The estimate should include all labor, management, software, commercial AI tools (if proposed), licensing, reporting, quality assurance, and all other costs required to complete the effort.

Do not provide labor category rates or labor-hour estimates.

Identify:
• One Budgetary Firm-Fixed-Price
• Pricing assumptions
• Factors that could materially affect cost

10. Questions for Industry

1. Can your organization perform the entire scope of the draft requirement?
2. Is the requirement representative of commercially available services?
3. Is the 60-calendar-day performance timeline reasonable?
4. If your organization is a small business, describe why it is capable of performing this requirement as the prime contractor.
5. Identify the GSA MAS contract and SIN(s) under which these services would be offered and confirm they are within scope (if applicable).
6. Identify any recommendations that would improve the Government's requirement or acquisition approach.

11. Response Instructions

Responses should not exceed 15 pages, excluding supporting documentation. Submit responses electronically in searchable PDF format to contact@example.gov

12. Disclaimer

This notice is issued solely for market research purposes and does not constitute a solicitation.

The Government may use responses to determine the appropriate acquisition strategy, including commerciality, competition, pricing approach, and whether the requirement should be reserved or set aside for one or more small business programs.

The Government is not obligated to issue a solicitation, award a contract, or reimburse any costs incurred in responding.