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Part 4 - Iowa Medicaid Enterprise

Part 4 - Iowa Medicaid Enterprise

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RFP MED-12-001 | Technical Proposal<strong>Iowa</strong> <strong>Medicaid</strong> <strong>Enterprise</strong> System Service Procurement | MMIS and Core MMIS OperationsFigure 9.1.2.1-68. Provider Payment Preferences. In this example the provider has elected electronicpayment. Note that the checking account number displays only the last four digits of the account number.IME may choose to enact policy to disable a provider’s ability to select the paper option to better controland reduce operating costs.EDI Claims Submission. eCAMS allows providers to choose the methods of electronic submission theywould like to use as shown in Figure 9.1.2.1-69. Based on rules in the wizard and in the credentialingmatrix, the ability to submit electronically can be restricted to only those providers who both have an NPIand have submitted a trading partner agreement. The sample screen shown in Figure 9.1.2.1-69 shows thefollowing choices:• Web Batch – Enables the provider to submit transaction batches directly through the Provider portal• File Transfer Protocol (FTP) Secured Batch – Allows the provider to submit files to an FTP server,where eCAMS automatically picks them up for validation• Web Interactive – Lets the provider perform claims data entry directly through the Provider portal• Billing Agent/Clearinghouse – Allows the provider to specify a third-party claim submitter9.1.2.1 | 82

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