The following instructions are for new providers who need to submit eligibility and 837P claims through NCTracks testing portal for certification. This certification is required before submitting electronic files via Barnestorm or through the NCTracks portal.
NCTracks would have sent you information about this process with instructions on how to complete. Barnestorm does not have their instructions. We can assist with generating the testing files for you to send through the testing portal (listed below).
The two different file types they request are 270 (eligibility inquiry) and 837P (professional claim).
Eligibility 270 file: - Go to Billing > Other > Create Eligibility Verifications.
- Select a Medicaid payer from the list of payers.
- Click on 'Create Eligibility File'.
- IMPORTANT: Print out and/or write down the eligibility file info, as you will need to find the file on your system to upload it to NCTracks. Ex. C:\Barnestorm\Claims(file_name).
- DO NOT USE THE TRANSMIT TO NC MEDICAID screen. Instead, upload the file to NC Tracks testing portal with instructions they have provided to you. Barnestorm is unable to assist with the upload process.
837P claim:
- Go to Billing > All Other Billing.
- Select a from and thru date for visits you have ready in Barnestorm.
- Enter the payer number for NC Medicaid.
- Select Patients as Specified Above. Identify 25 patients you want to send as a test claim--try to pick ones that usually have no problems. Click patient's from the left to remove them from the list.
- Click on 'Prepare Charges for Billing'.
- Click 'Create HIPAA Tx'.
- IMPORTANT: Print out and/or write down the claim info, as you will need to find the file on your system to upload it to NCTracks.
- DO NOT USE THE TRANSMIT TO NC MEDICAID screen. Instead, upload the file to NC Tracks testing portal with instructions they have provided to you. Barnestorm is unable to assist with the upload process.
Locating Your Files
Your files are likely stored on your C drive or a mapped drive under Barnestorm\Claims. If you've noted the file path, navigate to that location on your computer and find the file name you recorded. If you didn’t write down the path and can’t find the file, you'll need to repeat the process and make sure to record the location this time.
Important Steps Before Using Barnestorm for Eligibility and Claims
You won’t be able to use Barnestorm to send eligibility and claims until you’ve successfully completed all testing phases with NC Tracks. To proceed, ensure you have your TSN and NCID with a password set up.
Billing After Testing
After creating and sending test files, remember to bill these patients as usual (not as NC Tracks tests) to receive payment from NC Medicaid. Follow the standard Barnestorm billing and eligibility process.
If you have questions about NC Tracks, please contact them.
Excerpt from Trading Partner Companion Guide
3.2 CERTIFICATION REQUIREMENTS
NCTracks certifies transaction compliance and requires certification from any external entity to submit inbound X12 transactions. The NCTracks Trading Partner Testing Portal is designed to
lead a trading partner through the required steps to receive certification to submit EDI transactions. These steps are defined in a program for each transaction the trading partner
intends to submit.
- Trading Partners will receive an invite with a logon ID and password via email from the Trading Partner Testing Portal.
- Trading Partners will download the TPA, sign, and upload the TPA to the Trading Partner Testing Portal.
- Trading Partners will sign up for the programs (transactions) for which they need
- certification.
- Trading Partners will submit test transactions into the Trading Partner Testing Portal to be validated for compliance checking and NCTracks rules.
- Trading Partners can log issues using the Ramp Management (RM) tool or can call or email the CSRA EDI Support helpdesk.
- After Trading Partners are certified in RM, they will have the opportunity to submit the
- surveys associated with the program.
- For Trading Partners who had received the original invite to participate in the certification process but did not enroll or complete the process, periodic reminder emails will be sent by the NCTracks EDI team.
The NCTracks Trading Partner Testing Portal provides the trading partner with the instructions for completing all of these steps and tracks the trading partner’s progress within the programs they are performing. The self-service testing tool also provides instructions for logging any issues using the Trading Partner Testing Portal, as well as instructions for calling or emailing the CSRA EDI Support helpdesk.