You use Claims Inquiry to view claims in ND MMIS. You can view the detail of all claims on the current claims database, including suspended claims, using claims inquiry. You can view a claim by searching for the claim on the Claim Inquiry search page or by clicking a transaction control number (TCN) hyperlink from elsewhere in ND MMIS, for example, Claim Correction. You can search for a claim to view using a variety of search criteria including TCN, provider, or member information.
The Claims Inquiry pages are view-only. You cannot change the claim information displayed.
ND MMIS stores claims on the current claims database for four years after which time the claims are archived. Certain claims, for example claims for lifetime procedures, are kept permanently on the current claims database.
Claims Inquiry Search (TCN Tab) Page
Claims Inquiry Search (Provider Tab) Page
Claims Inquiry Search (Member Tab) Page
Claims Inquiry Search (External TCN Tab) Page
Claims Inquiry Search (Advanced Tab) Page
Claims Inquiry Search (Search Results) Page
Dental Claim Detail (Main Tab) Page
Dental Claim Detail (Line Item Tab) Page
Dental Claim Detail (Adjustments/History Tab) Page
Dental Claim Detail (Basic Claim Info Tab) Page
Dental Claim Detail (Other Claim Info Tab) Page
Dental Claim Detail (Other Service Info Tab) Page
Institutional Claim Detail (Main Tab) Page
Institutional Claim Detail (Line Item Tab) Page
Institutional Claim Detail (Adjustments/History Tab) Page
Institutional Claim Detail (Basic Claim Info Tab) Page
Institutional Claim Detail (Other Claim Info Tab) Page
Institutional Claim Detail (Other Service Info Tab) Page
Professional Claim Detail (Main Tab) Page
Professional Claim Detail (Line Item Tab) Page
Professional Claim Detail (Adjustments/History Tab) Page
Professional Claim Detail (Basic Claim Info Tab) Page
Professional Claim Detail (Other Claim Info Tab) Page
Professional Claim Detail (Other Service Info Tab) Page
Claim Detail (Claim Exceptions) Page
Version as of 5/16/14.
Copyright © 2017 Conduent, Inc. All rights reserved. Conduent and Conduent Agile Star are trademarks of Conduent, Inc. and/or its subsidiaries in the United States and/or other countries.