NCTracks
Claims
This section is intended to help N.C. DHHS providers understand how to file claims with NCTracks, including secondary claims.
All claims are expected to be submitted to NCTracks electronically, either through the NCTracks Provider Portal or as an ASC X12 transaction. (See the Trading Partner Information page for more information regarding ASC X12 transactions.) Exceptions include time limit overrides, Medicare overrides, and certain adjustments.
User Guides
The following user guides are intended to provide step-by-step instructions to complete a variety of claims related activities in NCTracks. Additional user guides may be found on the Provider User Guides and Training page of the NCTracks provider portal.
- How to Add Billing and Rendering Provider Taxonomy Information to a Claim - Edit 07011 (PDF, 733 KB)
- How to Resolve the Claims Reject Edit 00431 for Community Alternatives Program (CAP) Providers (PDF, 1496 KB)
- How to Submit Claim Adjustments and Time Limit and Medicare Overrides (PDF, 879 KB)
- How to Update a Claim in the Pend Status resulting from an Incorrect Billing Location (PDF, 446 KB)
- How to Add an Attachment to a Claim (3, 555 KB)
- How to Indicate Other Payer Details on a Claim In NCTracks and Batch Submissions (PDF, 678 KB)
- How to Submit Claims with PA Using Local W Codes (PDF, 488 KB)
- Understanding NCCI Edits (PDF, 27 KB)
- ORH COVID-19 Claim Submission Job Aid (PDF, 715 KB)
- How to Submit a Pharmacy Claim Participant User Guide (PDF, 2819 KB)
- How to Submit a Dental Claim Participant User Guide (PDF, 2822 KB)
Fact Sheet
The following Fact Sheet outlines many of the key differences in how NCTracks proceses claims compared to the legacy system.
NCTracks Claims Adjudication Fact Sheet
Claims Training
There are several Claims Training courses available for providers in SkillPort, including How to Submit a Professional/Institutional/Dental Claim (depending on the type of provider) and DME Claim Processing. For more information regarding how to access SkillPort, see the Provider Training page on the NCTracks Provider Portal.
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