Solventum Grouper Plus APR-DRG and EAPG SAAS - Revised

NYSIF is seeking proposals from qualified firms capable of providing Solventum New York State Workers’ Compensation Board Statutory All Patient Refined Diagnosis Related Groups (APR-DRG), Enhanced Ambulatory Patient Groupings (EAPG) and Medical Facility Grouping Reimbursement Software-as-a-Service. NYSIF is seeking this for the term of 10/9/26-10/8/28. This hosted solution provides accurate and efficient grouping of inpatient and outpatient claims data along with up-to-date claims edits. This is needed for medical bill processing, for accurate calculation of hospital payments, and for assigning patient records to the APR-DRG and the EAPG. The following SKUs are included: - GPCS APRDRG NY: GPCS APR DRG Grouper with NY Medicaid, Managed Care, Workers' Comp & No-Fault Reimb - GPCS NYPT: GPCS NY Medicaid, Medicaid Managed Care, Workers' Comp & No-Fault Inpatient Pricer Tables - GPCS ENAPG NY GPCS EAPGS NY: Medicaid Grouper & Reimbursement - GPCS NYEAPGSPT GPCS NY Medicaid & Workers' Comp Outpatient Pricer Tables All deliverables resulting from this project are classified as Solventum Health Systems, Inc.’s intellectual property. Solventum Health Systems, Inc. will have and retain all right, title and interest in and to any deliverables developed hereunder, including all trademark, copyright, patent, trade secret and other intellectual property rights related thereto ("Deliverables"). Pursuant to State Finance Law § 139-j and § 139-k, this solicitation includes and imposes certain restrictions on communications between NYSIF personnel and a prospective bidder during the procurement process. Designated staff for this solicitation is Vincent Ginardi and Keisha Rivera, NYSIF, 15 Computer Drive West, Albany NY 12205, [email protected]. Contacts made to other NYSIF personnel regarding this procurement may disqualify the prospective bidder and affect future procurements with governmental entities in the State of New York. NYSIF anticipates awarding a single contract. There are no additional documents available at this time. All available information can be found within the Contract Reporter Advertisement. Interested firms must submit supporting documentation outlining you firms qualification to meet the requirements to [email protected]. Business enterprises awarded an identical or substantially similar procurement contract within the past five years: None