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ND Health Enterprise Medicaid Management Information System (MMIS)

Welcome. This website provides important information to help Medicaid providers prepare for the implementation of the new claims processing and payment system known as the ND Health Enterprise MMIS.

The ND Health Enterprise MMIS will be available to providers who participate in:

  • North Dakota Medicaid
  • Children’s Health Insurance Program (Healthy Steps)
  • Home and Community-Based Medicaid Waiver Services

The ND Health Enterprise MMIS offers a user-friendly web portal that will be available 24 hours a day/7 days a week. Providers will be able to perform various business activities including:

  • Getting real-time access to member eligibility, claims status, remittance advices, payment status and claims history
  • Entering and validating claims real-time
  • Uploading batch transactions
  • Managing accounts/passwords
  • Accessing email box for letters and updates 

Provider News and Updates

May 25, 2015 - ND Medicaid will offer Health Care Claim Payment/Advice (835) Transactions when the new ND Health Enterprise MMIS goes live. Providers who wish to receive an 835 transaction will be REQUIRED to complete one of two forms.

  • SFN 109 authorizes a Clearing House or Billing Agent to retrieve a provider’s 835 Electronic Remittance Advice (ERA) transactions.
  • SFN 111 is for providers who have the capability of retrieving their own 835 Electronic Remittance Advice (ERA) transactions.

These forms can be found at www.nd.gov/eforms/ or by clicking on the links above. If you have any questions, contact the ND EDI Help Desk at 1-844-848-0844 or ndmmisedi@nd.gov.

More updates

Resources

Learn more about the ND Health Enterprise MMIS by reviewing Frequently Asked Questions and Fact Sheets.

Enrollment

All new and existing providers MUST complete a web-based enrollment application to use the ND Health Enterprise MMIS.

Taxonomy Codes

Learn more about taxonomy codes and their role in submitting claims to the ND Health Enterprise MMIS.

Training and Support

Providers will be able to access various training opportunities to prepare for new ND Health Enterprise MMIS.

These include in-person instructor-led trainings, online computer-based training, instructor-led webinars, and educational conference calls. (Qualified Service Provider call on June 23, 2015 has been cancelled. Agenda for all other Medicaid providers call on June 24, 2015).

For a complete list of scheduled training events, view the May Training Calendar and June Training Calendar or visit the ND Health Enterprise MMIS Learning Center.

Companion Guides

Companion guides are for N.D. Trading Partners when ND Health Enterprise MMIS goes live.

Claims Submission Guidelines

Claims Submission Guidelines outline policy and provider billing instructions for claims submitted to the ND Health Enterprise MMIS.

Contact

N.D. Department of Human Services
Medical Services Division
600 East Boulevard Avenue, Dept. 325
Bismarck, N.D. 58505-0250
Phone: (800) 755-2604

Medicaid Systems Project archived information

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