Part 4 - Iowa Medicaid Enterprise

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RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 9.1.1.1-9. Updating Member Information. eCAMS supports additions and updates of memberinformation including eligibility, demographic, address, and indicators, through an easy-to-use interfaceor direct data entry (DDE) screen functionality.BE1.02eCAMS receives and processes all batch eligibility files via EXACT interfaces using a two step process.The system first loads member interface data into a staging table, using defined interface business rules.eCAMS then loads the records into the member database and sends a confirmation email notification forthe successful completion of the file load, along with any error details. Definitions include sourceinformation of the interface, format of the interface, validating rule component information, interfaceschedule information, error thresholds, and error escalation contact information.eCAMS has the capability to maintain member data online via screen functionality where authorizedusers can either view the records processed via an interface file or update members online. Alltransactions posted to the member business management area, including those obtained real time, viabatch or online are tracked via audit history with error records available for transaction error reporting.Figure 9.1.1.1-10 depicts the eCAMS interface file configuration for different eligibility source which canbe used to track the files loaded or any errors with the transactions processed.9.1.1.1 | 18
RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 9.1.1.1-10. Member Eligibility Update. Team Noridian solution offers the flexibility to track anddefine interfaces, including control validation edits, schedule definitions, error thresholds, and errorescalation contact information.BE1.02.01eCAMS is capable of receiving member eligibility data via the EXACT batch interface bus and willreport any processing errors to the source system via email notification. The system stores eligibilityinformation received from multiple eligibility sources for different or even for same time periods, asshown in Figure 9.1.1.1-11.Figure 9.1.1.1-11. Source System Information. eCAMS is capable of receiving, processing, and storingeligibility data from various eligibility sources.The system has the capability to process member eligibility, demographic, address and other details viareal-time using SOA framework and will report any errors back to source system via real-time response.9.1.1.1 | 19
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Part 4 - Iowa Medicaid Enterprise

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