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Ugs administered in a physician office or clinic, or by certified dialysis providers, include the National Drug Code (NDC). All providers affected by this change must implement a process to record and maintain the National Drug Code(s) and quantity(ies) of the drug(s) administered to the patient. Refer to the National Drug Code Implementation special bulletin (linked from http://www.ncdhhs.gov/dma/bulletin.htm#special; issued October 2007 and revised January 2008) for more detailed information o.
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It shall state the specific dissatisfaction with the Division's action and should be mailed to: Appeals, Division of Health Benefits, 2501 Mail Service Center, Raleigh, North Carolina 27699-2501.
Health plans are responsible for claims processing and timely payments to providers for claims submitted within 180 calendar days of the date of covered service or discharge (whichever is later), except for pharmacy point of sale claims which shall be submitted within 365 calendar days of the date of the provision of ...
The North Carolina Medicaid program requires providers to file claims electronically (with some exceptions) using the NCTracks claims processing and provider enrollment system. For billing information specific to a program or service, refer to the Clinical Coverage Policies.
Payer Name: Medicaid - North Carolina|Payer ID: NCXIX|Professional (CMS 1500)
Paper claims received from contracted Network Providers will be returned with instructions for re-submitting electronically. Emergency Department (ED) and Out of Network (OON) Providers may submit paper claims to: Claims Department, 5200 W Paramount Parkway, Ste 200, Morrisville, NC 27560.
The North Carolina Medicaid program requires providers to file claims electronically (with some exceptions) using the NCTracks claims processing and provider enrollment system. For billing information specific to a program or service, refer to the Clinical Coverage Policies.
No paper submission is required - secondary claims can be billed electronically to NCTracks, either on the portal or as a batch electronic claims transaction.
Use our DSS directory or call the NC Medicaid Contact Center at 1-888-245-0179 to find the location closest to you. Help is available in other languages.
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