Prepaid Health Plan Information Added to NCTracks Automated Voice Response System

As part of recent NC Medicaid Managed Care updates, NCTracks accepts beneficiary enrollment and eligibility inquiries through the Automated Voice Response System (AVRS) which can be reached at 800-723-4337. The AVRS response includes the Prepaid Health Plan (PHP) name, contact information and the PHP assigned Primary Care Provider (PCP)/Advanced Medical Home (AMH). The response also includes a reminder that all care must be coordinated through the PHP.

To obtain PHP information via the AVRS:

  1. Dial 800-723-4337
  2. Press 1 to identify yourself as a provider
  3. Press 2 to request an eligibility inquiry
  4. The system will ask for the NPI. Enter the NPI, then press 1 to confirm it if correct
  5. Enter either a recipient ID or a recipient date of birth and social security number
  6. Enter a date of service
  7. If the recipient is eligible for Medicaid Managed Care coverage, a message will play with the details of that plan

 

 

 

 

 

 

 

 

 

 

 

 

 

M21193-R-2144