Medicaid Encounter Data – Project Spotlight
Dental Claim Oversight
Cirdan’s Medicaid Health Plan client contracted with a dental vendor to provide dental claims processing and dental encounter data submissions. However, the contract included no support to provide visibility into encounter data errors.
Cirdan received the dental encounter data files prepared by the vendor for submission to the state Medicaid Agency, and the related response files.
Cirdan’s client had increased visibility to its dental encounter records and improved compliance.