Claims Processing
The Medicaid Management Information System (MMIS) processes over 15 million fee-for-service claims annually. Claims are processed from over 11,000 providers for health care services rendered on behalf of the State's approximately 300,000 Medicaid members. The MMIS determines which fee-for-service provider claims are appropriate to pay and the payment amount through a complex series of policy tables and data edits.
E-mail "The Doc" top of page
The "Claims Doctor"
Are you having difficulty processing a claim? Does your head hurt every time you receive a remittance? Do you feel a "pain" in the back of your neck when you file a claim? If so, please take a moment to review the FAQ, and Billing Tips on this website. If your prognosis is still undetermined, e-mail the "Claims Doctor". The "Claims Doctor" will listen to your symptoms and diagnose your ailments so you can process those claims without all the side effects.
dhhrmedclaimdoc@wv.gov
Please note: Effective January 1, 2008 only the new claims form will be accepted by Unisys for billing WV Medicaid claims.
Office of MMIS Operations & IT Support / 350 Capitol Street Room 251 / Charleston, WV 25301-3709
Updated: 07/14/10
