North Carolina Medicaid

Summary

North Carolina Medicaid is a dental, medical, and vision payer operating in North Carolina. Claims route under payer ID NCMCD, with 8 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

NCMCDAlso seen as 10156, 12K23, 1561250855, 377, CKNC1, DNC00 and 2 more

Also known as

Medicaid North Carolina, NC Medicaid, NCDHHS

Service area

NC

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for North Carolina Medicaid?

The payer ID for North Carolina Medicaid is NCMCD. Alternate IDs seen across clearinghouses include 10156, 12K23, 1561250855, 377.

Does North Carolina Medicaid require ERA enrollment?

Yes. North Carolina Medicaid requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does North Carolina Medicaid cover?

North Carolina Medicaid operates in NC. Coverage can differ by plan and product line, so confirm the specific plan before you file.

What types of coverage does North Carolina Medicaid offer?

North Carolina Medicaid covers dental, medical, and vision.

Can I submit claims to North Carolina Medicaid electronically?

Yes. North Carolina Medicaid is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, dental claims, and electronic remittance. Electronic claims are supported for professional (837P), institutional (837I), and dental (837D).