Special Bulletin Details Cutoff Dates for Transition to NCTracks
Health care providers whose claims are still pending when NCTracks goes live July 1, 2013, must resubmit those claims in the new system. That and other key cutoff dates for the transition to NCTracks are available in a SPECIAL BULLETIN.
NCTracks will go live July 1, replacing the Medicaid Management Information System (MMIS) and other legacy claims processing systems used by DHHS. The State and its new fiscal agent, CSC, have endeavored to make the transition as smooth as possible. The Special Bulletin outlines dates on which specific operations will cease in the legacy claims systems before resuming in NCTracks.
Health care providers are advised to review the cutoff dates and plan accordingly. For example, claims and adjustments pending in legacy systems after the final checkwrite cycle will be denied. Providers will receive an explanation of benefits (EOB) stating that adjudication was not completed, and advising providers to resubmit the denied claims in NCTracks on or after July 1.
Providers should also make sure they have taken all steps necessary to make sure claims are processed and paid. A complete checklist is available at http://ncmmis.ncdhhs.gov.
April 29th, 2013