Request for Solutions (RFS): Autonomous Coding (AC) and Automated Appeals & Denials Management (ADM)
Summary
The Defense Health Agency is seeking AI/ML‑enabled solutions for autonomous medical coding and automated appeals & denials management to improve healthcare delivery and financial recovery across the Military Health System. The solicitation calls for prototype Other Transaction Agreements that can assign billing codes without human intervention and automate claim appeal processes, emphasizing auditability, explainability, and accelerated documentation release.