13.07.2015 Views

Part 4 - Iowa Medicaid Enterprise

Part 4 - Iowa Medicaid Enterprise

Part 4 - Iowa Medicaid Enterprise

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

RFP MED-12-001 | Technical Proposal<strong>Iowa</strong> <strong>Medicaid</strong> <strong>Enterprise</strong> System Service Procurement | MMIS and Core MMIS Operationsthe data, unmatched records are either rejected or ignored. eCAMS currently accepts interface data forDEA, CLIA, OIG LEIE sanctions, and SSA Death Match data.When a suspected match is detected during the interface process, eCAMS generates an alert to theappropriate provider enrollment specialist. The alert contains information allowing the providerenrollment specialist to locate the suspended transaction, review it, and either accept or reject the update.When manual intervention is required, the provider enrollment specialist enters a reason for the decision.The history of the updates and reason information can be retrieved using the View History feature.For all interfaces, eCAMS maintains a history of the interface including when it was received and ifapplication was successful or unsuccessful - completely or in part. This includes a record of errorsencountered in applying the data. For each interface, eCAMS maintains contact information so that theappropriate internal and external support people can be contacted for problem resolution issues.PR3.04eCAMS maintains current and historical provider address information for multiple address types. eCAMScaptures the following types of provider addresses in USPS compliant format:• NPI base location address• Mailing address• Pay-to address• Multiple office location addresses• EDI contact address• EDI software provider address• Tax statement addresseCAMS associates an effective start and end date with each address. eCAMS retains historical addressesin the system for the data-retention period defined by the Department. Authorized users can viewhistorical addresses information by selecting the View History function on the Location screen as shownin Figure 9.1.2.1-61.Figure 9.1.2.1-61. Provider Address History. Using the view history function, the authorized user can seethe complete history of address changes for any address included in the provider's records by filtering forrecords in all status values using the percent sign (%) wildcard.9.1.2.1 | 75

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!