North Carolina: Submit required sterilization consent and child medical evaluation forms for claims using Smart Edits
Effective Jan. 28, 2022, North Carolina Medicaid Division of Health Benefits required health care professionals to electronically attach sterilization consent forms and child medical evaluation forms when submitting claims.
The Claims tool on the UnitedHealthcare Provider Portal and electronic data interchange (EDI) submissions does not currently allow you to upload attachments with your claims. To comply with the state’s requirements, take these steps to electronically upload the forms:
Initial claim submission process
Submit your claim electronically using the Claims tool or EDI. You will not be able to upload your forms at this time.
You’ll receive a Smart Edit message within 24 hours indicating the form is missing and must be submitted
Within 5 calendar days
Open Trackit in the UnitedHealthcare Provider Portal