Author: NC Medicaid Third Party Recovery, 919-527-7690
The State and GDIT are in the process of completing NCTracks system updates to provide notification on the Remittance Statement of adjustment actions taken on previously paid claims due to audits conducted by Third Party Recovery and the Office of Compliance and Program Integrity. The new Explanation of Benefits (EOB) codes and messages that are being added to NCTracks are shown below:
Results of audits and any recoupments are also communicated in writing to the impacted providers prior to making any adjustments to claims.