Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 9-4. Provider Perspective. This shows the different communication channels and the service layeravailable within the Team Noridian solution. Process and information service layer ensures a consistentdata and process rules across different business areas. The system supports the following functionalities to make the provider experience more positive:• Consistency across different communication channels for the same information using standardizedprocess services.• The process services enable the ability to add new channels of communication with the provider withlittle system impact. For example, Team Noridian recently extended some of the provider accessfunctions on a smart phone platform. The provider could access the status of their claims or checkmember eligibility via a smart phone or a similar device.• The information entity layer masks the complexity of collecting data from the data source or sourcesand provides an entity-level data view to the provider. For example, a provider looking up theirinformation would get to a see their information in terms of data collected from IVR, or submittedvia paper.• The system tracks key process metrics which are captured across different business processes toensure quality of service to the trading partner.The member stakeholder view shown in Figure 9-5 focuses on the key communication channels that themember uses to interact with the system and some of the associated business process services that areexposed to the member. The system supports the following functionalities to make the user experiencerich for the member:9 | 8