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This Solicitation opportunity from Department Of Defense was posted on August 26, 2026. The submission period has ended. Browse the details below for market research, or find similar active opportunities.

Request for Solutions (RFS): Autonomous Coding (AC) and Automated Appeals & Denials Management (ADM)

Closed
HT0038RFSACADMFederal

Contract Overview

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

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AI Contract Overview

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The Defense Healthcare Management Systems Modernization Program Management Office, under the Department of Defense’s Defense Health Agency, is soliciting innovative AI and machine learning solutions to transform healthcare billing and financial recovery operations within the Military Health System. This Request for Solutions, issued under 10 U.S.C. § 4022, aims to award one or more prototype Other Transaction Agreements to industry partners capable of delivering advanced, autonomous systems that operate without human intervention while remaining fully auditably and explainable. Two distinct capability areas are targeted: Autonomous Coding, which must accurately assign medical billing codes from clinical documentation using human-like AI processes, and Automated Appeals & Denials Management, which must systematically reduce aged accounts receivable, increase first-pass claim success, expedite documentation release, and automate the generation and submission of appeals to third-party payers. Industry participants may respond to one or both capability areas. Solicitation HT0038RFSACADM, posted on August 5, 2026, requires responses by August 19, 2026, and is governed by NAICS code 541511 for custom computer programming services. Proposals must be submitted to the Defense Health Agency’s office located in Rosslyn, Virginia, with all technical and procedural instructions detailed in the attached documentation. Primary point of contact is Sharjeel Javaid, with Dominique Brown serving as secondary contact, both reachable via official government email addresses. The opportunity is open to all qualified entities without set-aside restrictions, and performance will be conducted across Virginia. Interested parties are directed to the SAM.gov portal for full solicitation materials and submission guidelines, with emphasis placed on adherence to all requirements to ensure eligibility for consideration.

General Info

DOD seeks AI solutions for autonomous medical coding and appeals automation in military healthcare billing.

NAICS

541511 - Custom Computer Programming Services

Place of Performance

0, VA, USA

Set-Aside

NONE

Documents

6

ACADM Phase 1 Q&A on RFS and Draft SOO

PDF, High priority: read this first2 pages · q-and-a
High

Draft SOO Rev 1 - Autonomous Coding & Appeals and Denials Management

PDF, High priority: read this first9 pages · sow
High

Draft Statement of Objectives for Autonomous Coding & Automated Appeals and Denials Management

PDF, High priority: read this first9 pages · soo
High

Request for Solution for Autonomous Coding and Automated Appeals & Denials Management

PDF, High priority: read this first8 pages · rfs
High

RFS Rev 1: Autonomous Coding and Appeals & Denials Management

PDF, High priority: read this first8 pages · rfs
High

ACADM Phase 1 Q&A 082126

PDF, Low priority21 pages · q-and-a
Low

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Timeline

3 updates
PhaseClosed
Posted

Solicitation

Notice updated

Response deadline changed from Aug 19, 2026 to Aug 28, 2026. The notice description changed.

Notice updated

The notice description changed.

Notice updated

The notice description changed.

Response Deadline

Deadline has passed

Submission Closed

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Organization & Contact Information

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AgencyDepartment Of Defense → Defense Health Agency
Contacts2 people available
OfficeROSSLYN, VA, 22209, USA
Office AddressROSSLYN, VA, 22209, USA
Contacts
Sharjeel Javaid
Dominique Brown

Full Description

Show more

August 26, 2026: The remaining responses previously marked as to be provided at a later date are now available in attached ‘ACADM Phase 1 QA 082626’. The RFS and SOO have been revised accordingly; please see the yellow-highlighted sections in the attached ‘ACADM RFS Rev 1’ and ‘ACADM SOO Rev 1’.


August 21, 2026: Responses to submitted questions are now available in the attached document, 'ACADM Phase 1 QA 082126'. This document also specifies which questions will receive responses at a later date.


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.

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