Medicaid Encounter Data – Project Spotlight
Dental Claim Oversight
Client Challenge:
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.
Our Solution:
Cirdan received the dental encounter data files prepared by the vendor for submission to the state Medicaid Agency, and the related response files.
The Result:
Cirdan’s client had increased visibility to its dental encounter records and improved compliance.