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The Pulse

  • NCTracks Update: July 10

    First Payments Made. NCTracks made its first electronic funds transfers to providers today, totaling $137 million. The next checkwrite date is July 17, according to the checkwrite schedule.

    Reconciling Your Payments. A Fact Sheet is available on the NCTracks Provider Portal that explains some of the key features of the new Remittance Advice (RA). An EOB to HIPAA Code Crosswalk is also available.

    In addition, a Computer Based Training course entitled “How to Read Your Remittance Advice” is available in SkillPort, the NCTracks Learning Management System, by clicking on the Provider Training button in the secure Provider Portal. (Access to the secure Provider Portal requires an NCID.)

    Clarification on Recipient Eligibility Lookup. DHHS and CSC understand that there may be some confusion surrounding what information providers see onscreen while verifying recipient eligibility through NCTracks. The new system takes a different approach than the one to which providers may be accustomed. NCTracks lists the benefits a recipient may receive, rather than programs in which the recipient is enrolled.

    For example, a beneficiary may be enrolled in a specific program, such as Medicaid for Infants and Children (MIC) or Medicaid for Adults with Disabilities (MAD). The dozens of three- or four-letter program eligibility codes that providers saw in legacy systems do not display in NCTracks. What the provider sees instead is the Health Plan in which the beneficiary is enrolled (such as Medicaid, Health Choice and others). Beneath the Health Plan is a list of the benefits for which the recipient is eligible, based on program enrollment.

    Providers who find they need the eligibility coverage codes can find a tool on the NCTracks website that maps benefits in NCTracks to eligibility coverage codes. Another tool available online lists benefit plans that do not map to codes, such as CAP programs.

    Providers who need additional assistance can call the Call Center at 1-800-688-6696, or email NCTracksproviders@nctracks.com.

    Seminars Start Next Week. While thousands have used the online courses and the call-in information sessions, others want that person-to-person experience. Next week in-person seminars will be held in Greensboro and Charlotte, then the following week in Asheville, Wilmington and Greenville, ending in Raleigh on August 1.  This is a great opportunity to learn more about how to use the new NCTracks system.  For more information and to register, go to the Provider Training page on the portal and click on the NCTracks July Seminar Information document under Quick Links.

    Call Center Open Until 6:00 p.m. And finally, a reminder that the Call Center is open until 6:00 p.m. this week.

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