Request for Solutions (RFS): Autonomous Coding (AC) and Automated Appeals & Denials Management (ADM)
Defense Health Agency · DEFENSE HEALTH AGENCY
Capture briefs (a one-page, shareable copy of this page) are part of Pro. The CSV here holds the notice, its timeline and past awards.
Where this opportunity stands
Every notice posted under solicitation HT0038RFSACADM in this department, oldest first.
Next steps for this stage
Standard steps for the notice type; not advice about this buyer.
- Decide bid or no bid before the response deadline.
- Look at the past winners for likely competitors and teaming partners.
- Follow the opportunity to hear about amendments and the award.
What the notice says
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 mor… (show all)
e 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.
Who won similar work
13 award notices on SAM.gov in the last 24 months. Match: Same agency (Defense Health Agency), same industry group (NAICS 5415).
| Winner | Awards | Value | Last |
|---|---|---|---|
| ALASKA NORTHSTAR RESOURCES LLC | 1 | $12.3M | Feb 18, 2025 |
| LEIDOS, INC. · $LDOS | 1 | $8.1M | May 8, 2026 |
| A1Fed Incorporated | 1 | $6.8M | Jan 22, 2025 |
| BLUE TECH INC. | 1 | $1.2M | Oct 23, 2024 |
| XYBION CORPORATION | 1 | $814K | Sep 4, 2026 |
| SCIENCE APPLICATIONS INTERNATIONAL CORP · $SAIC | 1 | $777K | Aug 11, 2026 |
| Alvarez LLC | 1 | $769K | Aug 11, 2026 |
| Locked Core Tech LLC | 1 | $550K | Sep 2, 2026 |
| Abbott Rapid Diagnostics Informatics, Inc | 1 | $283K | Aug 26, 2026 |
| Image Systems TrackEye Inc. | 1 | $259K | Jun 4, 2025 |
Value counts single-winner awards. "Shared" awards are multiple-award contracts that list every winner with the same total ceiling; that ceiling is not one company's win, so it is not added in.
- Sep 4, 2026XYBION CORPORATION$814KPristima Software License Renewals and Maintenance
- Sep 2, 2026Locked Core Tech LLC$550KInstrument Manager OEM Laboratory Middleware Software Solution
- Aug 26, 2026Abbott Rapid Diagnostics Informatics, Inc$283KAbbott Remote Automated Laboratory System (RALS)
- Aug 11, 2026SCIENCE APPLICATIONS INTERNATIONAL CORP$777KData Services/Cloud & Data Engineering Support
- Aug 11, 2026Alvarez LLC$769KV5000 Smartbadge and Device License
- May 8, 2026LEIDOS, INC.$8.1MNOTICE OF CONTRACT AWARD AND JUSTIFICATION & APPROVAL (J&A) POSTING
- Sep 12, 2025IDENTITY ONE LLC$37KMadigan Army Medical Center IDEMIA PIV Media and Card Reader
- Aug 28, 2025INVERIS TRAINING SOLUTIONS, INC$256KFireArms Training System (FATS) AR 2 Bundle Hardware and Software
- Jun 4, 2025Image Systems TrackEye Inc.$259KAward Notice - TEMA Pro License Renewal
- Apr 23, 2025PERFORMANCE SYSTEMS INTEGRATION, LLC$28KFireworks Servicer
Competitive landscape
For the 8 most frequent past winners above. Lobbying is matched by the company's exact name or exact ticker; agencies are as named on the filings.
- 2 of these past winners lobbied Defense, Dept of (DOD) or Office of the Secretary of Defense or Joint Chiefs of Staff since 2024 (10 filings)
- 0 of their lobbyists list a past Defense, Dept of (DOD) or Office of the Secretary of Defense or Joint Chiefs of Staff job
- $413K from their corporate PACs since 2024 to members of House Committee on Appropriations, House Committee on Armed Services, Senate Committee on Appropriations, Senate Committee on Armed Services
- 0 foreign-agent (FARA) registrations
Policy around it
Bills the past winners named while lobbying this agency's issues, rules from the department, and executive orders that name the agency, last 12 months.
- 8 bills named on the past winners' lobbying filings
- 32 rules from the department in the last 12 months
- 0 executive orders naming the agency in the last 12 months
Market
For past winners matched exactly to a listed company. Insider trades are open-market buys and sells (Form 4) in the last 90 days, shown as facts; our own study found insiders do not reliably buy ahead of awards.
- 2 of the past winners are listed companies
- 1 insider buys and 2 insider sells at them in the last 90 days
Sources: SAM.gov notices and award notices; Senate LDA lobbying filings; FEC filings; FARA; Federal Register; congress.gov; SEC Form 4. Every row above links to its record.
Companies are matched to tickers by exact name only. A company we could not match shows no market rows; that is a miss, not a finding.