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Outpatient Pharmacy ... NC Medicaid (Medicaid) beneficiaries shall be enrolled on the date of service ... Prescribers must obtain prior authorization for any brand- name, multisource drug ... and
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NC Medicaid beneficiaries are individuals who are eligible to receive medical assistance through the Medicaid program in North Carolina.
Healthcare providers who provide services to Medicaid beneficiaries in North Carolina are required to file claims for reimbursement with the NC Medicaid program.
Providers can fill out claims for Medicaid beneficiaries electronically through the NC Tracks Provider Portal or by submitting paper claims via mail.
The purpose of the NC Medicaid program is to provide essential healthcare services to eligible low-income individuals and families in North Carolina.
Providers must report accurate and detailed information about the services rendered to Medicaid beneficiaries, including patient demographics, diagnosis codes, procedure codes, and billing information.
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