The Defense Healthcare Management Systems Modernization PMO is seeking AI/ML-enabled solutions to enhance healthcare delivery and strengthen financial recovery across the Military Health System. The government intends to award one or more prototype Other Transaction Agreements through this competitive Request for Solutions. The opportunity covers two distinct

The Defense Healthcare Management Systems Modernization (DHMSM) Program Management Office seeks innovative AI/ML solutions to enhance healthcare delivery and financial recovery across the Military Health System. Through a competitive Request for Solutions, the government intends to award one or more prototype Other Transaction Agreements. The opportunity covers two distinct capability areas: Autonomous Coding (AC) for fully automated, auditable, and explainable medical billing code assignment, and Automated Appeals & Denials Management (ADM) for reducing aged receivables, improving first-pass claims, and automating appeal submissions. Industry partners may submit a solution for either capability individually or for both. No budget or specific performance location is stated.

The Defense Healthcare Management Systems Modernization (DHMSM) Program is seeking innovative AI/ML-enabled solutions to improve healthcare delivery and financial recovery across the Military Health System. The government intends to award one or more prototype Other Transaction Agreements (OTAs) through this competitive process. Two distinct capability areas are being solicited: Autonomous Coding (AC) for assigning medical billing codes without human intervention, and Automated Appeals & Denials Management (ADM) to address backlogged accounts receivable and automate appeal submissions. Industry partners may submit proposals for either capability individually or for both. Interested parties are encouraged to review the attached documents for complete submission requirements and instructions.