Part 4 - Iowa Medicaid Enterprise

RFP MED-12-001 | Technical ProposalIowa Medicaid Enterprise System Service Procurement | MMIS and Core MMIS OperationsFigure 9.1.3.1-8. Scanning and Imaging Process. This non-electronic claim, adjustment, and attachmentintake workflow uses automated processes with minimal manual intervention and focuses on quality andservice level metrics.CR1.04eCAMS accepts the current non-institutional paper claim form developed by the National Uniform ClaimCommittee (NUCC) for non-electronic claims (CMS 1500) and has the necessary EDI infrastructure tosupport future formats. The loading process for CMS 1500 forms is illustrated in Figure 9.1.3.1-8(presented in our response to CR1.03).Team Noridian has been using the Emdeon Transform Suite, formerly known as the Dakota ImagingTransform Suite, for nearly 20 years of scanning and extracting data from paper claims. It is currently inuse in Iowa Medicaid, Medicare Parts A and B, and Blue Cross/Blue Shield of North Dakota to processall institutional and non-institutional paper claims. In the Medicare implementation, we currently scannearly 100,000 imaged pages a month, consisting of approximately 20,000 claims.CR1.05eCAMS accepts the current dental paper billing form developed by the ADA and has the necessary EDIinfrastructure to support future formats. The loading process for ADA forms is illustrated inFigure 9.1.3.1-8 (presented in our response to CR1.03).9.1.3.1 | 14