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NCIS Enrollment Specialists Participant User Guide (Provider) PREPARED FOR: North Carolina Department of Health and Human ServicesTRACKING NUMBER: PUG×PRV562TRN Version V1.0 FINALSUBMITTED BY: CACHES
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Who needs ncmmis?

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Ncmmis is needed by individuals who require medical services and assistance.
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Specifically, those who need ncmmis include:
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- Medicaid beneficiaries who are eligible for the program and require ongoing medical care.
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- Healthcare providers who participate in the Medicaid program and need to submit claims or request reimbursements.
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- Insurance companies or managed care organizations involved in managing Medicaid benefits and payments.
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- State agencies or government entities responsible for administering Medicaid services and ensuring compliance with regulations.
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- Individuals or organizations involved in the processing, coordination, or management of Medicaid claims and records.
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NCMMIS stands for North Carolina Medicaid Management Information System. It is the system used to manage the Medicaid program in North Carolina.
Healthcare providers who participate in the North Carolina Medicaid program are required to file NCMMIS.
NCMMIS can be filled out online through the NC Medicaid provider portal.
The purpose of NCMMIS is to manage and administer the North Carolina Medicaid program, including processing claims and payments.
Providers must report services rendered to Medicaid beneficiaries, along with the corresponding billing codes and amounts.
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