Attention: All Providers Action on Unresolved Accounts Receivable

An Accounts Receivable (AR) is created in NCTracks when a provider does not have sufficient paid claims in the current checkwrite to satisfy a recoupment of funds, often related to claims reprocessing. As noted in previous communication, as of May 1, 2016, recoupment of a system-generated AR begins with the subsequent checkwrite after the AR has been established.

If an AR is not satisfied within 60 days, payment to the National Provider Identifier (NPI) for which the AR was established, as well as all other NPIs associated with the same Internal Revenue Service (IRS) Taxpayer Identification Number (TIN), is suspended. A 60 Days Past Due Letter is sent only to the provider for whom the AR was established, not to any other providers who share the same IRS TIN. Impacted providers cannot be paid or submit a re-verification application as long as a balance is 60 days past due. Providers are responsible for repaying the North Carolina Department of Health and Human Services (DHHS) payer (e.g. the Division of Medical Assistance) even if they are no longer filing claims to NCTracks.