Third Party Collections Program
Overview
Buyer
Place of Performance
NAICS
PSC
Set Aside
Original Source
Timeline
Qualification Details
Fit reasons
- NAICS alignment with historical contract wins in similar service areas.
- Scope strongly matches core technical capabilities and delivery model.
Risks
- Past performance thresholds may require one additional teaming partner.
- Potential clarification needed on staffing minimums before bid/no-bid.
Next steps
Validate eligibility requirements, assign capture owner, and schedule partner outreach to confirm teaming strategy before submission planning.
Quick Summary
The Defense Health Agency (DHA), under the Department of Defense, has issued a Request for Information (RFI) for a Third Party Collections Program. This RFI seeks to identify companies capable of providing comprehensive medical billing and collection services to recover healthcare costs from third-party payers and non-beneficiaries. Responses are due by April 3, 2026, at 4:00 PM EST.
Purpose & Scope of Work
This RFI is for market research and planning purposes only and does not constitute a Request for Proposal. The DHA aims to centralize and optimize revenue recovery for healthcare services provided by Department of War (DoW) and DHA military treatment facilities (MTFs). The scope of work, detailed in the draft Performance Work Statement (PWS), includes:
- Centralized Other Health Insurance (OHI) billing and collection activities using a government-provided medical billing program (GBS).
- Identification and verification of OHI, updating GBS, direct billing of third-party payers, and follow-up on unpaid claims (every 30 days).
- Denials management, payment posting, valid write-offs, and referral of delinquent claims by the 120th day.
- Exclusions include first-party billing to beneficiaries, interagency billing, and billing for elective cosmetic surgery or incidental inpatient charges. Balance billing applies only to non-beneficiaries.
- Services will be performed at MTFs identified in Attachment 1 (not provided), with the contractor determining the place of performance, potentially requiring CONUS and OCONUS travel.
Key Information Requested
The DHA is specifically interested in capabilities and experience related to:
- Experience with the Government Billing Solution (GBS) within a Medical Treatment Facility (MTF) environment.
- Expertise in medical billing, collection activities, denial management, payment posting, and refund services within the Military Health Services (MHS) environment.
- Understanding of MHS Uniform Business Office (UBO) policies and practices.
- Proposed approach for acquiring and administering training resources for GBS.
- Comments or suggestions to improve the attached draft PWS.
Contract & Timeline
- Type: Request for Information (RFI) / Sources Sought
- Anticipated Period of Performance: Beginning March 2027, not to exceed 5 years.
- Set-Aside: None specified.
- Response Due: April 3, 2026, at 4:00 PM EST.
- Published: March 11, 2026.
Submission Requirements
Interested parties must submit a Capability Statement, limited to ten (10) pages, comprising two sections:
- Section 1: Administrative Information (Company name, address, Point of Contact, recommended contracting strategy).
- Section 2: Company Information for market research (Company Name, UEI, CAGE, NAICS Codes, Business size, SINs, Contract Numbers). Responses must be submitted via email to theophilus.o.agyare.civ@health.mil and jeanna.m.butler.civ@health.mil, with the subject line "HT001126RFI0239 Third Party Collections Program".
Additional Notes
This RFI is solely for market research; it does not commit the Government to a contract. All submissions become Government property. Contractor personnel will require Basic Life Support (BLS) certification, Privacy Act, HIPAA, and Cyber Awareness training, and a National Agency Check with Inquiries (NACI) investigation. Adherence to applicable U.S. Codes, Federal Regulations, DoW Guidance, CMS guidance, and DHA Policy, including HIPAA and data security, is mandatory. Contractors must provide a Quality Control Plan (QCP) and a Human Resource Management Plan. Government Furnished Property and Services (GFE) will be provided.