HP has been asked by the North Carolina Division of Medical Assistance (DMA) to integrate claims processing for the North Carolina Health Choice program with the State’s current Medicaid Management Information System (NC-MMIS). The integration will enable providers to use a single system to submit both Medicaid and Health Choice claims.
The plan is to make the claims processing for providers as well as for agency administrators easier to use. HP will be processing claims valued at more than $250 million annually for the 260,000 children enrolled in North Carolina Health Choice.
By integrating the systems, the state and providers will have several benefits:
• Enable providers to use a single system when submitting both Medicaid and Health choice claims, and also streamline oversight and administration for Health Choice
• Providers will have 24/7 access to Health Choice eligibility verification as well as provider remittance reports
• Pharmacists will have 24/7 access to an interactive, real-time pharmacy claims processing system along with drug alerts to protect patients
• Improved insight into claims data through the NC-MMIS
“States today must maximize the value of existing technology to improve cost and resource efficiency,” said Melissa Robinson, North Carolina Account Executive for HP Enterprise Services. “Dr. Gray, North Carolina Medicaid Director and the DMA have worked tirelessly with HP over the past six months to ensure the success of the NCHC integration, motivated by their desire to enhance the health of North Carolina’s children.