MMIS - ND Health Enterprise Medicaid Management Information System

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Welcome

ND Health Enterprise Medicaid Management Information System (MMIS) is available to all active enrolled Medicaid providers. 

The ND Health Enterprise MMIS will be available to providers who participate in:

  • North Dakota Medicaid
  • Children’s Health Insurance Program
  • Home and Community-Based Medicaid Waiver Services

Providers can check claim status through the Automated Voice Response System by dialing 1 (877) 328-7098 and selecting option 4. Claim status can also be obtained through the secure provider portal.

We appreciate your participation in the ND Medicaid program and continuing to care for our North Dakotans.

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Provider Enrollment

All new and existing providers MUST complete a web-based enrollment application to use the ND Health Enterprise MMIS.

Guides and Fact Sheets

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Companion Guides

Companion Guides for North Dakota Trading Partners

They are to be used in conjunction with the Accredited Standards Committee (ASC) X12 Technical Report Type 3 (TR3) Guides, including all related errata documents. The Companion Guides define state-specific requirements in electronic transactions, remaining within the framework and code sets as defined in the TR3s, which support rules as defined by the Health Insurance Portability and Accountability Act (HIPAA).

Updated May 2017

Managed Care Organizations (MCO) - Encounter Claims

Updated June 2018

Updated Feb. 2018

Updated Jan. 2021

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Paper Claims

Paper claim instructions provide field-level instruction on how to complete a claim form for claims submitted to the ND Health Enterprise MMIS.

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Contact Information

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Medical Services Division
North Dakota Health and Human Services
600 E Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250

Email: dhsmed@nd.gov
Phone: (701) 328-7068
Toll-Free: (800) 755-2604
Fax: (701) 328-1544
711 (TTY)

Noridian Healthcare Solutions
Attn: ND Medicaid Provider Enrollment
PO Box 6055
Fargo, ND 58108-6055
Phone: (701) 277-6999
Fax: (701) 433-5956
Email: NDMedicaidEnrollment@noridian.com