A Message from NCTracks on Behalf of NC Medicaid Reminder: Escalation Process for Standard Plan Provider Claims

This is a reminder for providers regarding the escalation process for Standard Plan provider claims payment issues.

Providers are encouraged to contact health plans directly to address any discrepancies in claim payment issues. Providers should use their respective health plan’s call center, provider relations teams, and appeal/grievance processes to resolve any outstanding claims issues.

For complete details, including guidance on the escalation process when involving the Provider Ombudsman, please review the following bulletin:

Escalation Process – Standard Plan Provider Claims Payment Issues.