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\u201cIncident-to\u201d billing is subject to elimination. The difference in billing \u201cincident-to\u201d is a 100% reimbursement rate versus an 85% reimbursement rate. That 15% difference cannot be passed onto the Medicare recipients.
Filing Claims The North Carolina Medicaid program requires providers to file claims electronically (with some exceptions) using the NCTracks claims processing and provider enrollment system .
NC Medicaid (Division of Health Benefits) is dedicated to providing access to physical and behavioral health care and services to improve the health and well-being of over 2.3 million North Carolinians.
The North Carolina Health Choice (NCHC) Health Insurance Program for Children is a comprehensive health coverage program for low-income children. If you do not qualify for Medicaid, but cannot to afford private or employer-sponsored health insurance, your children may qualify for NC Health Choice.
No. The provider cannot bill the Medicaid beneficiary for the private insurance copayment amount unless the Medicaid payment is denied because the service was a non-covered service, and then, only if the provider has advised the beneficiary in advance that the services are not covered.

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Corrected claims must be submitted no later than two years from the initial date of service. The appropriate field for each corresponding claim form is shown in the table below. approved retroactively by the Division of Medicaid or the Social Security Administration through their application processes.
Carolina ACCESS is a managed care program that provides a more efficient and effective healthcare system for Medicaid recipients. This program links Medicaid recipients with a primary care provider who delivers and coordinates their health care needs.
Welcome to NCTracks, the multi-payer Medicaid Management Information System for the N.C. Department of Health and Human Services (N.C. DHHS). PROVIDERS - Click on the Providers tab above to enter the Provider Portal. RECIPIENTS - Click on the Recipients tab above to enter the Recipient Portal.
The following new or amended clinical coverage policies are available on the NC Medicaid Clinical Coverage Policies web page at https://medicaid.ncdhhs.gov/providers/clinical-coverage-policies. These policies supersede previously published policies and procedures.
NCTracks is the new multi-payer Medicaid Management Information System for the NC Department of Health and Human Services. It has three separate portals for specific internet access to different sectors of the business (Providers, Recipients and internal operations needs).

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