You use the History Request page to set up requests for ND MMIS to retrieve claims from the archived claims database, to trigger a “targeted” Explanation of Medical Benefits (EOMB) letter to be sent to a member(s), or request a history profile. You set up history requests to support audit, adjustment processing, and other processing requirements.
Once you set up the request, the next time the archive retrieval process runs, the ND MMIS retrieves a copy of the claims that met the request criteria and places them in the claims history database. If the request was for an EOMB, a “targeted” EOMB is sent to the member(s) to describe services paid on the member’s behalf. The claims will remain in claims history for a minimum of 90 days before they are re-archived.
How to Search Claim History Request
How to Add or Edit a History Request
Claim History Request Search Page
Version as of 5/16/14.
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