Sole Source Contract for Electronic Data Interchange (EDI) System and Electronic Clearing House

This sole‑source contract authorizes the South Carolina Department of Behavioral Health and Developmental Disabilities to procure an Electronic Data Interchange (EDI) system and an Electronic Clearing House solution from CompuGroup Medical SC, LLC for the purpose of submitting Medicaid claims for inpatient facilities and community mental health centers. The system will handle ANSI‑formatted institutional (UB) and professional (HCFA 1500) claims, support FTP transmission from the agency’s Avatar billing system, and provide eligibility checks, claim status inquiries, and custom reporting capabilities. The vendor will install and configure the proprietary client software, maintain crosswalks between Avatar and the EDI platform, and perform transaction rule edits and payer‑specific edits prior to claim submission. The contract value is $297,000 and is structured as a firm‑fixed‑price sole‑source award. • Scope: Provision, installation, configuration, and ongoing support of a proprietary EDI/clearing‑house solution for Medicaid claim processing. • Vendor: CompuGroup Medical SC, LLC – sole‑source provider of the proprietary software and related services. • Value: $297,000 fixed‑price award, covering software licensing, implementation, and support services.