CSC has selected Pegasystems’ Build for Change technology to provide critical system functions to the new Medicaid Management Information System (MMIS) for North Carolina’s Department of Health and Human Services (DHHS). Pegasystems’ technology will provide the ability to respond quickly to legislative and programmatic changes, and improve service to North Carolina’s Medicaid recipients and providers. The North Carolina MMIS will provide claims processing, automated workflow, standardized reporting and analytics, and a secure Web portal for use by providers in performing claims entry and eligibility verification. In addition, the North Carolina MMIS will include service processes for providers, tailored service interactions, work automation for improved efficiencies, enhanced scripting to guide manual work and improve quality, and rapid development of ongoing service enhancements. (Thomas P. Anderson, president of CSC’s North American Public Sector Civil and Health Services group.)
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