The Accounts Payable process within ND MMIS contains two major areas:
There are three basic parts to Accounts Payable. The initial part is the adding of the payout. The second part is updating the payout, if needed, before the claim payment and reporting cycle occurs. The third part is the approval of the payout by a financial supervisor or manager.
Payout allows ND MMIS to make a payment to a payee that is not related to a particular claim.
A payout cannot be created until the State has provided an accounting transaction request. Once it is received by Medical Services, it is entered in ND MMIS. After the payout is entered, ND MMIS creates a financial transaction. After the financial transaction is approved, it is used during the claims payment and reporting cycle to make a payment to the payee based on the payout information.
Reasons for creating a payout include cost settlements payments, HIPP (Health Insurance Premium Payment) payments, and payout refunded to a carrier.
Payout approvals are done by a supervisor. There are two types of payout transactions that can be approved:
Advanced payment payouts are created when account receivables are entered for the Advance Payment System reason code and the Advance Payment Manual reason code.
Regular payouts consist of payouts entered for HIPP payments, MQIP (Medicaid Quality Incentive Program) supplemental payouts, and Payout Cost Settlement payments.
After payout approval is completed, the payout records are released to claims processing to make the payments to the entity recorded on the payout.
Version as of 5/16/14.
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