Closing soon

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

Description: The Defense Healthcare Management Systems Modernization (DHMSM) Program Management Office, in conjunction with the Defense Healthcare Management Systems Program Executive Office, seeks AI/ML-enabled solutions to enhance healthcare delivery and strengthen financial recovery operations across the Military Health System. Capability 1 is Autonomous Coding, which assigns medical billing codes from clinical documentation without human intervention while maintaining full auditability and explainability. Capability 2 is Automated Appeals & Denials Management, a phased solution for aged accounts receivable that aims to improve first-pass claim success, accelerate documentation release, and automate the generation and submission of appeals to third-party payers.

Buyer
Released
Aug 5, 2026
Closes
Aug 21, 2026(2 days left)

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