Additional Provider Training for Enhancements to Recipient Eligibility Inquiry

Effective March 24, several enhancements related to Recipient Eligibility Inquiry were implemented in NCTracks. These system changes were implemented as part of the CAQH CORE (Phase I and Phase II) standards.

The enhancements on the NCTracks Provider Portal include:

• Normalization of the recipient last name in search criteria -Providers may enter the beneficiary's last name in the search criteria with spaces, special characters, hyphens, etc.
• Service type selection capability in search criteria -Providers may enter up to 5 specific service types in search criteria in an inquiry. If no service types are specified, the system returns up to 54 covered service types.
• Copay information by service type in the search response- Co-pay information is returned with each service type in the response.

An additional 30 minute training session about the Recipient Eligibility Inquiry enhancements is being offered for providers. The session will be conducted via WebEx and will be held on:
Wednesday, May 28 at 3:00 PM
Attendance is limited to 115 per session. Providers can register for a session in SkillPort, the NCTracks Learning Management System. Logon to the secure NCTracks Provider Portal and click Provider Training to access SkillPort. Open the folder labeled Provider Computer-Based Training (CBT) and Instructor Led Training (ILT). The "Provider Training for Enhancements to Recipient Eligibility Inquiry" course can be found in the sub-folder labeled ILTs: Remote via Webex. (Refer to the Provider Training page of the public Provider Portal for specific instructions on how to use SkillPort.) For those who are unable to attend the training sessions, the training materials are posted on SkillPort.
(For more information about CAQH CORE, see http://www.caqh.org/.)