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North Carolina Electronic Claims Submission Software - ncdhhs

North Carolina Electronic Claims Submission Software - ncdhhs 2025

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The November 1999 North Carolina Medicaid Bulletin provides important updates for healthcare providers regarding holiday observances, changes in claim form distribution, Year 2000 compliance efforts, and various policy updates affecting Medicaid services. Key topics include the implementation of penalties for late payments, new billing guidelines for obstetrical services, updates on diabetes self-management training coverage, and changes to reimbursement rates for adult care home services. Providers are reminded to ensure accurate tax identification information and to stay informed about procedural changes to avoid claim denials.

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How do I check the status of my NCTracks application?

To locate the status of a submitted application, a user can select the Status and Management icon after logging into NCTracks provider portal. On the Status and Management page, the user will locate the status of the application to the right of the applicable NPI that can be found under Submitted Applications.

Who has access to NCTracks?

NCTracks is used by the Division of Health Benefits (DHB); the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (DMH/DD/SAS); and the Division of Public Health (DPH).

What is NC Medicaid called now?

North Carolinas Transformation to NC Medicaid Managed Care On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plans network of doctors.

Is NCTracks Medicaid?

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).

What is NCTrack prior approval?

Prior approval (PA) is required for certain drugs prescribed to NC Medicaid recipients. Refer to the Prior Approval Drugs and Criteria page for specific criteria. Providers may submit requests via fax, phone or through the secure NCTracks secure provider portal.

How do I verify provider eligibility in NCTracks?

To contact the NCTracks Call Center to inquire on recipient eligibility in NC FAST, dial 1-800-688-6696.

What is the timely filing limit for Medicaid NC corrected claims?

Timely Filing for Medical Claims For Standard Plans, the 365 day time frame is effective July 1, 2023. This applies to the original claim submission and any subsequent corrected claims. For NC Medicaid Direct, LME/MCOs may require claims be submitted within 90 days of the service prior to 7/1/2024.

What is NC DHHs DMA?

Division of Medical Assistance manages the North Carolina Medicaid and Health Choice for Children programs. Medicaid. provides health insurance for low-income children, families of dependent children, pregnant women, seniors, and.

North Carolina Electronic Claims Submission Software - ncdhhs 2025

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