XEROX 99D-Appendix4
Appendix 4 Batch Computer Program List
The following pages contain a list of all batch computer programs that comprise the batch subsystems for OmniCaid. This list was pulled from the New Mexico OmniCaid Production OWL Library on January 31, 2004. The list documents the Program ID and the associated Program Title from the source code. The batch programs are grouped in sequence according to the alphabetic Subsystem Name. Within in each subsystem group, the programs are in sequence according to Program ID.
Here is the alphabetic subsystem name group sequence:
• Claims
• Client
• CPAS & MEQC
• Drug Rebate
• EMC
• Financial
• General
• Internal Interfaces
• Managed Care
• MEVS
• Prior Authorization
• Provider
• Reference
• TPL
• Web MMIS
CLAIMS SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMDC8000 CLAIM CONTROL ENGINE
NMDC8005 GET ADDRESSES
NMDC8050 CREATE EXCEPTION AREA
NMDC8060 TCN READ AND INITIALIZE APPROPRIATE VIEWS
NMDC8061 READ CLAIMS BY TCN WITHOUT CALL
NMDC8062 INSTITUTIONAL CLAIM READ BY TCN
NMDC8064 MEDICAL CLAIM READ BY TCN
NMDC8066 ADJUSTMENT REQUEST CLAIM READ BY TCN
NMDC8070 TCN READ AND INIT - FROM HISTORY TABLES
NMDC8071 READ CLAIMS BY TCN WITHOUT CALL
NMDC8072 INSTITUTIONAL CLAIM READ BY TCN
NMDC8074 MEDICAL CLAIM READ BY TCN
NMDC8076 ADJUSTMENT REQUEST CLAIM READ BY TCN
NMDC8120 CLAIM DATE VALIDATION - HEADER & LINE ITEM LEVELS
NMDC8130 CLAIM TYPE CODE AND MAJOR PROGRAM CODE ASSIGNMENTS
NMDC8210 BUILD EXCEPTION AREA FROM EXCEPTION TABLE
NMDC8220 BUILD EXCEPTION AREA FROM CLM_CNTL_EXC_GRP
NMDC8310 DATA VALIDATION FOR MEDICAL CLAIMS
NMDC8320 DATA VALIDATION FOR INSTITUTIONAL CLAIMS
NMDC8330 DATA VALIDATION FOR ADJUSTMENTS
NMDC8410 PROVIDER ELIGIBILITY
NMDC8420 CLIENT ELIGIBILITY
NMDC8510 CLAIMS MEDICAL PRICING
NMDC8520 CLAIMS NON-INPATIENT PRICING
NMDC8530 INPATIENT PRICING
NMDC8610 CLAIMS DUPLICATE CHECK PROGRAM
NMDC8621 UTILIZATION REVIEW EDITS FOR CLAIMS WITH OVER 50 LINES
NMDC8622 UTILIZATION REVIEW EDITS FOR CLAIMS WITH 50 LINES OR LESS OR MCARE–A-XOVER OR INPATIENT
NMDC8710 INTERIM ADJUDICATOR
NMDC8720 FINAL CLAIMS ADJUDICATOR
NMDC8810 INSERT CLAIMS TO CURRENT CLAIMS TABLES
NMDC8820 UPDATE CLAIMS ON CURRENT CLAIMS TABLES
NMENDRG1 DRG CODE TO INPATIENT ENCOUNTERS – PROGRAM 1
NMENDRG2 DRG CODE TO INPATIENT ENCOUNTERS – PROGRAM 2
NMICANPI CLAIM FILE QSAM I/O MODULE - POST-NPI
NMICBNPI CLAIM FILE QSAM I/O MODULE - PRE-NPI
NMIC1001 CLAIM FILE QSAM I/O MODULE
NMIC1002 CLAIM FILE QSAM I/O MODULE
NMIC1003 CLAIM FILE QSAM I/O MODULE
NMIC1004 CLAIM FILE QSAM I/O MODULE
NMIC3010 CLAIM FILE QSAM I/O MODULE - PRE-HIPAA2
NMIC3011 CLAIM FILE QSAM I/O MODULE - PRE-HIPAA2 ENCOUNTER
NMMCCMPR CLAIMS COMPARE PROGRAM
NMMC0001 CREATE FLAT FILES TO POPULATE MASS ADJUSTMENT TABLES
NMMC0002 TPL MASS ADJUSTMENT REQUEST TABLE LOAD
NMMC0003 TPL MASS ADJUSTMENT CRITERIA TABLE LOAD
NMMC0020 ENCOUNTER PDCS CLAIM INTERFACE PROGRAM
NMMC0037 ENCOUNTER ADJUDICATION CYCLE DETAIL REPORT
NMMC0040 ENCOUNTER ADJUDICATION CYCLE SUMMARY REPORT
NMMC0060 ENCOUNTER PAID/DENY DETAIL REPORT
NMMC0100 CONTROL FILE REPORT WRITER
NMMC0110 CLAIMS HISTORY EXTRACT PROGRAM
NMMC0115 QUARTERLY SERVICES PAID TO SCHOOL BASED HEALTH CENTERS REPORT.
NMMC0155 MONTHLY SERVICES PAID TO SCHOOL BASED HEALTH CENTERS REPORT.
NMMC0200 RC085 BATCH SUMMARY REPORT
NMMC0300 Set Audit Indicator
NMMC0500 Weekly Suspense Analysis File Program
NMMC0503 NCCI ANALYSIS REPORT EXTRACT PROGRAM
NMMC0504 NCCI QUARTERLY ANALYSIS REPORT Program
NMMC0550 Monthly RC100 Report Program
Nmmc0720 Tab Run financial Summary
nmmc0730 tab run requested period summary
nmmc0740 tab run requested period service rendered summary
nmmc0750 tab run requested period grand total summary
nmmc0760 tab run requested period detail
nmmc0765 tab run tpl detail
nmmc0770 tab run requested period service rendered detail
NMMC2000 INCREMENT ADJUDICATED DATE
NMMC2100 ADJUDICATED AND SUSPENDED CLAIMS REPORT
NMMC2200 C-DAIL-RPT-IND UPDATE IN C-HDR-TB
NMMC2300 ADJUDICATION CYCLE REPORT DRIVER PROGRAM
NMMC2330 AGED DETAIL IN-PROGRESS REPORT PROGRAM
NMMC2400 DAILY CLAIM SUMMARY UPDATE PROGRAM
NMMC2345 DAILY AND WEEKLY SUSPENSE REPORT
NMMC2500 RELEASE DAILY CLAIM BATCHES
NMMC2700 EOMB SELECTION AND REPORT MODULE
NMMC3005 MOVE ELIGIBLE CLAIMS FROM HISTORY TO ARCHIVE FILE FROM FLAT FILES UNLOADED FROM DB2 TABLES
NMMC3016 DELETE ARCHIVE CLAIMS FROM HISTORY TABLES
NMMC3100 ENCOUNTER VOID/ADJUSTMENT HISTORY PROGRAM
NMMC3101 ENCOUNTER VOID/ADJUSTMENT REPORT PROGRAM
NMMC3200 RESTORE ARCHIVED CLAIM PROGRAM
NMMC3300 CREATE FILE FOR HISTORY PROFILES
NMMC3400 HISTORY PROFILE REPORT GENERATOR
NMMC4501 ADJUDICATED PAID/DENIED CLAIMS FILE EXTRACT
NMMC4510 PRELIMINARY PAYMENT PROGRAM
NMMC4512 BALANCING
NMMC4530 CREDIT BALANCE REPORTING
NMMC4535 SUSPENDED ACCOUNTS RECEIVABLE BALANCE
NMMC4560 PAYMENT PROCESSING PROGRAM
NMMC4562 BALANCING
NMMC4565 POST PAYMENT UPDATE PROGRAM
NMMC4568 WARRANT POPULATING PROGRAM
NMMC4569 PAYMENT CYCLE FINANCIAL SUMMARY
NMMC4570 MANUAL CHECK EXTRACTION PROGRAM
NMMC4572 NM WARRANTS/VOIDS TOTALING PROGRAM
NMMC4575 WARRANT REGISTER PRINT PROGRAM
NMMC4580 POST-PAYMENT REPORT WRITER MAINLINE PROGRAM
NMMC4590 CHECK WRITER PROGRAM
NMMC4596 ACCOUNTS RECEIVABLE AGING SUMMARY
NMMC4600 RECOVERY SUSPENSE REPORT
NMMC4605 REFUND DEPOSIT AND VOIDED CHECK SUMMARY
NMMC4610 NM PAYMENT SUMMARY REPORT
NMMC4700 MCO WEEKLY CLAIMS EXTRACT
NMMC4702 MCO WEEKLY EXTRACT FOR CAPITATIONS
NMMC4800 MCO WEEKLY EXTRACT FILE
NMMC4810 WEEKLY SIIS IMMUNIZATION FILE EXTRACT
NMMC4820 WEEKLY SIIS IMMUNIZATION CLIENT EXTRACT
NMMC4811 WEEKLY SIIS IMMUNIZATION – CREATES SQL STATEMENTS
NMMC4998 ANNUAL 1099 CREATION
NMMC4999 ANNUAL 1099 CREATION
NMMC5000 WEEKLY BALANCING FOR CLAIMS
NMMC6000 REMITTANCE REPORT DRIVER PROGRAM
NMMC6300 INSERT CLAIM ARCHIVE REQUEST ROWS
NMMC6500 PDCS PHARMACY CLAIM INTERFACE PROGRAM
NMMC6700 MONTHLY PROVIDER CLAIM SUMMARY ROLL CLEAR FINANCIAL FIELDS
NMMC6800 YEARLY PROVIDER CLAIM SUMMARY ROLL
NMMC6900 MERCER CLAIMS DATA EXTRACT FOR ENCOUNTER CLAIMS
NMMC6910 MERCER CLAIMS EXTRACT FOR FFS CLAIMS
NMMC7000 CREATE UNLOAD SYSIN STATEMENTS.
NMMC7800 MEDICARE CROSSOVER EXCLUSION PROGRAM
NMMC7900 SPLIT CAPITATION CLAIMS INTO FIVE FILES
NMMC7903 SPLIT CAPITATION CLAIMS INTO THREE FILES
NMMC820A X820 Transactions
NMMC820S SPLIT C4568SA BY PROVIDER ID AND RA NUMBER
NMMC8900 BATCH ADJUDICATOR
NMMC8910 BATCH INITIATOR EXTRACT
NMMC8920 BATCH INITIATOR
NMMC8930 BATCH INITIATOR WITH RETRY OF CONTENTION ABENDS
NMMC9300 BATCH DELETE AND SUSPENSE RELEASE
NMMC9310 BATCH DELETE AND SUSPENSE RELEASE
NMMC9320 Create Suspense Release Requests for EXCEPTIONS.
NMMC9400 MASS ADJUSTMENT EDITS
NMMC9500 MEDICARE RECOVERY CLAIMS IDENTIFIER
NMMC9505 MEDICARE SCI PART A CLAIMS IDENTIFIER
NMMC9930 POPULATE CLAIM EXCEPTION INDEX
NMMC9940 MASS ADJUSTMENTS
NMMC9950 CMS64 UPDATE FILE PROGRAM
NMOC0310 ONLINE MENU FOR ENCOUNTER SUBMISSIONS
NMOC0500 CLAIM CMS-1500 INTERFACE SERVICE
NMMC0552 EMSA UTILIZATION REVIEW REPORT PROGRAM
NMMC0502 EMSA UTILIZATION REVIEW REPORT FILE PROGRAM
NMOC0600 CLAIM INSTITUTIONAL INTERFACE SERVICE
NMOC0700 CLAIM ADJUSTMENT INTERFACE SERVICE
NMOC0800 CLAIMS INQUIRY SEARCH ENGINE
NMSC2301 ERROR ANALYSIS BY PROVIDER TYPE
NMSC2302 PROVIDER ERROR CODE REPORT
NMSC2303 Suspended Claim Aging Report By Claim Type
NMSC2305 ADJUDICATION REPORT WRITER
NMSC2306 CMS-1500 CLAIM EXCEPTION WRITER
NMSC2307 INPATIENT CLAIM EXCEPTION WRITER
NMSC2308 LONG TERM CARE CLAIM EXCEPTION WRITER
NMSC2310 DENTAL CLAIM EXCEPTION REPORT
NMSC2311 SUPPLY CLAIM EXCEPTION WRITER
NMSC2312 OUTPATIENT CLAIM EXCEPTION WRITER
NMSC2313 CAPITATION CLAIM EXCEPTION REPORT
NMSC2314 MEDICARE OUTPATIENT CLAIM EXCEPTION WRITER
NMSC2315 MEDICARE PART A CLAIM EXCEPTION WRITER
NMSC2316 MEDICARE PART B CLAIM EXCEPTION WRITER
NMSC2317 CLAIM CREDIT EXCEPTION WRITER
NMSC2318 CLAIM CREDIT EXCEPTION WRITER
NMSC2320 MASS CREDIT REPLACEMENT REPORT
NMSC2321 AGED DETAIL SUSPENSE REPORT
NMSC2322 CLAIM EXCEPTION REPORT
NMSC2323 SUSPENSE FILE ANALYSIS BY CLAIM TYPE
NMSC2324 DAILY EXCEPTION FILE
NMSC2325 TOP 10 CLAIMS APPROVED FOR PAYMENT
NMSC2326 SERVICES DENIED BY CLAIMS EXAMINERS
NMSC2327 SERVICES FORCED BY CLAIMS EXAMINERS
NMSC2328 FORCED/DENIED EXCEPTION SUMMARY
NMSC2332 CLAIMS ERROR ANALYSIS REPORT
NMSC2333 CLAIMS INPUT ANALYSIS
NMSC2334 CLAIMS ERROR ANALYSIS REPORT
NMSC2364 PAY & REPORT CLAIMS EXCEPTION REPORT
NMSC4515 COST CENTER CALCULATION PROGRAM
NMSC6001 REMITTANCE ADVICE REPORT
NMSC6003 MEDICAID REGISTER BY PROVIDER TYPE
NMSC6006 REMITTANCE ACTIVITY CONTROL TOTALS REORT WRITER
NMSC6009 GROSS ADJUSTMENT SUMMARY REPORT
NMSC8010 CICS SYNCPOINT COMMIT
NMSC8015 CICS SYNCPOINT ROLLABACK
NMSC8020 READ CICS TEMPORARY STORAGE QUEUE
NMSC8025 WRITE CICS TEMPORARY STORAGE QUEUE
NMSC8030 DELETE CLAIM CONTROL TEMPORARY STORAGE
NMSC8035 DISPLAY MSGS IN MVS - CALLED BY DUAL MODE PGMS
NMSC8045 CICS GETMAIN
NMSC8110 CLAIM CONTROL AUDIT INFO SYNC FOR BATCH CLAIMS
NMSC8532 DRG GROUPER CALL FROM CICS (ONLINE)
NMSC8534 DRG GROUPER CALL FROM BATCH
NMMX0020 ENCOUNTER PDCS CLAIM INTERFACE
NMMX0037 ENCOUNTER ADJUDICATION CYCLE DETAIL REPORT – HISTORY TABLES
NMMX0040 ENCOUNTER ADJUDICATION CYCLE SUMMARY REPORT – HISTORY TABLES
NMMX0060 ENCOUNTER PAID/DENY DETAIL REPORT – HISTORY TABLES
CLIENT SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMA0815A ONE TIME TERMINATION OF LONG TERM CARE SPANS FOR CENTENNIAL CARE TRANSITION
NMA1798A ONE TIME TERMINATION OF SELECT CMS COE SPANS FOR RAT1798
NMA2271A One Time Program to Replace COE Spans
NMCBCC00 FIRST HEALTH SYSTEMS CONVERSION TO Omnicaid
NMDB1031 COE SPAN PROCESSING
NMDB4501 SCI Eligibility Subroutine
NMDB4502 PAK Eligibility Subroutine
NMDB8005 Client Date Span Cut and Paste
NMDB8006 Client Merge Subroutine
NMMB0001 UPDATE CYCLE DATE
NMMB1000 CLIENT CONTROL CHECK PROGRAM
NMMB1010 CLIENT CMS INTERFACE REFORMAT PROGRAM
NMMB1020 COMMON INTERFACE REFORMAT PROGRAM
NMMB1030 CLIENT ELIGIBILITY UPDATE PROGRAM
NMMB1035 VOID OVERLAPPING COE SPANS (OF SAME COE)
NMMB1040 REFORMAT ERROR REPORT
NMMB1050 UPDATE ERROR REPORT
NMMB1051 CORRECTION TO EXISTING CLIENT ID REPORT
NMMB1060 SUSPECTED DUPLICATE ERROR REPORT PROGRAM
NMMB1070 CLIENT ELIGIBILITY AUDIT TRAIL
NMMB1081 CLIENT DATE OF DEATH UPDATE PROGRAM – Office of Vital Statistics
NMMB108X CLIENT DATE OF DEATH UPDATE PROGRAM – HMS
NMMB1100 CLIENT GLOBAL RECONCIL INTERNAL SYSTEM
NMMB1110 CLIENT GLOBAL RECONCILIATION PROGRAM
NMMB1111 FILE AUDIT REPORT OF MISMATCHES REPORT
NMMB2000 LONG TERM CARE BCBS/MMIS INTERFACE PROGRAM
NMMB2003 TPA LTC Update
NMMB2001 LONG TERM CARE CYFD/MMIS INTERFACE PROGRAM
NMMB2010 LONG TERM CARE/MMIS INTERFACE REPORT
NMMB2011 LONG TERM CARE/MMIS INTERFACE REPORT
NMMB2012 LONG TERM CARE/MMIS INTERFACE REPORT
NMMB2013 LONG TERM CARE/MMIS INTERFACE REPORT
NMMB2014 LONG TERM CARE/MMIS INTERFACE REPORT
NMMB2015 LONG TERM CARE/MMIS INTERFACE REPORT
NMMB2100 LONG TERM CARE MASS TRANSFER PROGRAM
NMMB2111 LONG TERM CARE MASS TRANSFER AUDIT REPORT
NMMB2200 BENDEX INTERFACE
NMMB2210 BENDEX TRANSACTIONS NOT APPLIED REPORT
NMMB2300 BUY-IN TO MMIS INTERFACE
NMMB2310 BUY-IN TO MMIS TRANSACTIONS NOT APPLIED REPORT
NMMB2311 BUY-IN TO MMIS FINANCIAL REPORT GENERATOR
NMMB2312 BUY-IN TO MMIS FINANCIAL DETAIL REPORT GENERATOR
NMMB2320 MEDICARE PART A BUYIN TRANSACTION EDIT
NMMB2330 MEDICARE PART A BUYIN UPDATE
NMMB2340 MEDICARE PART B BUYIN TRANSACTION EDIT
NMMB2350 MEDICARE Part B BUYIN UPDATE
NMMB2360 MEDICARE PART REPORT PROGRAM
NMMB2400 MCO LOC SETTING INTERFACE PROGRAM
NMMB3000 MI VIA COE LTC OVERLAP REPORT
NMMB3098 ADD DATE/SEQUENCE AS A SORT KEY TO ASPEN FILE
NMMB3099 REMOVE DATE/SEQUENCE AS A SORT KEY TO ASPEN FILE
NMMB3100 ASPEN ELIG INFC PRELIMINARY FILE VALIDATION
NMMB3110 ASPEN ELIGIBILITY INTERFACE EDIT PROGRAM
NMMB3120 ASPEN ELIGIBILITY INTERFACE UPDATE PROGRAM
NMMB3125 ASPEN VOID REINSTATEMENT PROGRAM
NMMB3126 ASPEN MCI CORRECTION PROGRAM
NMMB3127 TMSIS PREGNANCY COE CORRECTION FOR MALE CLIENTS
NMMB3130 ASPEN CLIENT ELIGIBILITY ERROR REPORT (RB310)
NMMB3131 ASPEN CLIENT ERROR REPORT
NMMB3140 SDX MONTHLY UPDATE FOR ASPEN
NMMB3160 RB316 REPORT NEW PROGRAM
NMMB3170 ASPEN GLOBAL RECON SYSID IDENTIFICATION NEW PROGRAM
NMMB3180 RB400 REPORT NEW PROGRAM
NMMB3180 RB312 ASPEN RECONCILIATION REPORT
NMMB3200 OMNICAID TO ASPEN MCO INTERFACE NEW PROGRAM
NMMB3210 OMNICAID TO ASPEN TPL INTERFACE NEW PROGRAM
NMMB3211 OMNICAID TO ASPEN Load - ONE TIME PGM
NMMB3220 OMNICAID TO MCO TPL INTERFACE REPORT
NMMB3230 OMNICAID TO MCO TPL EDIT
NMMB3240 OMNICAID TO MCO TPL UPDATE
NMMB4000 STATEWIDE MONTHLY ELIGIBLE REPORT EXTRACT
NMMB4016 MER REPORTS FOR ALL ABP AND NA ABP
NMMB4100 PRESUMPTIVE ELIGIBLE PROVIDER REPORT
NMMB4200 CLIENT ELIGIBILITY MASTER REPORT
NMMB4300 CLIENT MAILING LABELS
NMMB4500 SCI REVERSE ROSTER INTERFACE
NMMB4504 SCI REVERSE ROSTER ERROR REPORT
NMMB4510 SCI POTENTIAL ELIGIBLE EXTRACT
NMMB4520 SCI ELIGIBILITY SPAN CLOSURE
NMMB4600 MCO TO HSD INTERFACE
NMMB4605 CARELINK NM TO HSD INTERFACE
NMMB4610 LTC VOID (ADHOC)
NMMB6000 CLIENT - PURGE REPORT
NMMB6100 CLIENT PURGE DELETE
NMMB6400 SCHIPS QUARTERLY AND ANNUAL REPORT EXTRACT
NMMB7000 COB HCFS ELIGIBILITY FILE CREATION
NMMB7006 COBA ELIGIBILITY FILE CREATION
NMMB7007 COBA FILE COMPARE
NMMB7008 COBA ERF INTERFACE
NMMB7009 COBA PRIOR MONTH FILE ADJUST
NMMB7016 CMS DUAL ELIGIBLE FILE FOR MEDICARE MODERNIZATION ACT (First Program)
NMMB7017 CMS DUAL ELIGIBLE FILE FOR MEDICARE MODERNIZATION ACT (Second Program)
NMMB7011 CMS RESPONSE FILE PART D TABLE LOAD
NMMB7012 CMS MMA PART D RESPONSE FILE ERROR REPORT PROGRAM
NMMB7013 SLMB/QI-1 INTERFACE ADDITIONS
NMMB7014 AUTO-ASSIGNED OUT-OF-STATE PLAN LISTING
NMMB7020 CMS MMA PART D SPANCLOSURE PROGRAM
NMMB7040 CMS TBQ MEDICARE SPAN CLOSURE PROGRAM
NMMB7041 TBQ Phase 2 Client Update
NMMB7100 MMIS CLIENT ELIGIBILITY FILE TO PDCS
NMMB7101 MMIS CLIENT ELIGIBILITY FILE TO PDCS
NMMB7200 MMIS TO BLUE CROSS/BLUE SHIELD OF NEW MEXICO
NMMB7021 CMS MMA PART C RESPONSE FILE ERROR REPORT
NMMB7300 LEWIN BUDGET MODEL INTERFACE FOR CLIENT
NMMB7301 LEWIN BUDGET MODEL INTERFACE FOR ARCHIVE HISTORY
NMMB7310 LEWIN BUDGET MODEL INTERFACE FOR CLAIMS
NMMB7311 LEWIN BUDGET INCURRED EXPENDITURES BY TOS EXTRACT
NMMB7312 LEWIN BUDGET INCURRED EXPENDITURES BY TOS & THRU DATE
NMMB7313 LEWIN BUDGET UNDUPLICATED COUNT BY TOS & THRU DATES
NMMB7400 CREATE THE LIS REFERRALS EXTRACT
NMMB7500 SWIPE CARD INTERFACE
NMMB7510 SWIPE CARD ISSUANCE REPORT
NMMB7511 SWIPE CARD ERROR REPORT
NMMB7520 PRIVACY NOTICE GENERATOR
NMMB7600 TPA CLIENT ELIGIBILITY EXTRACT
NMMB7610 OBSOLETE - TPA TPL CLIENT ELIGIBILITY EXTRACT
NMMB7620 CLIENT MONTLY LTC RECONCILIATION FILE INTERFACE TO MCOS
NMMB7900 IHS RACE CODE UPDATE
NMMB7901 IHS PDL Client Race Code Interface
NMMB8000 CLIENT UNMERGE
NMMB8010 CLIENT - UNMERGE FORMATTED PRINT REPORT
NMMB8050 CLIENT CLAIMS TRANSFER PROCESSOR
NMMB8200 TMSIS ELIGIBILTY PRELIMINARY EXTRACT
NMMB8300 TMSIS ELIGIBILTY FINAL EXTRACT
NMMB8300 CLIENT MCO MEDICARE DRUG CARD INTERFACE
NMMB8500 CLIENT PCO ASSESSMENT EXTRACT FILE MODULE
NMMB8510 CLIENT PCO ASSESSMENT REMINDER PROGRAM
NMMB8520 CLIENT PA PERSONAL CARE MONTHLY CLOSURE
NMMB8530 COLTS ASSESSMENT REMINDERS PROGRAM
NMMB8600 CAPITATION MERGED CLIENT LOCK-IN OVERLAP REPORT
NMMB8700 MERGED CLIENT REPORT
NMMB9000 CLIENT/MANAGED CARE ACTIVITY LOG TABLE
NMMB9610 FIX DATE GAPS IN RESIDENTIAL ADDRESSES
NMMB9600 CLOSE OPEN LOC FOR DECEASED CLIENTS
NMMJCL19 FORMAT FOR DSS DOWNLOAD - BCOPAYTB NEW PROGRAM
NMMJCL20 FORMAT FOR DSS DOWNLOAD - BMCPRFTB NEW PROGRAM
NMMJCL21 FORMAT FOR DSS DOWNLOAD - BMRGIDTB NEW PROGRAM
NMOB1100 INTERSPACE PROGRAM STUB FOR PB ELIGIBILITY
NMOB1110 MERGE CLIENT DATA ONLINE PROCESSOR
NMOB9000 OCTEL PRESUMPTIVE ELIGIBILITY SYSTEM
NMOB9100 OCTEL PRESUMPTIVE ELIGIBILITY CLIENT
NMOB9110 OCTEL CLIENT PRESUMPTIVE ELIGIBILITY
NMSB1033 LEGACY ELIG. UPDATE SUBROUTINE (RES. ADDRESS) NEW PROGRAM
NMSB1034 LEGACY ELIG. UPDATE SUBROUTINE (MC PREFERENCE) NEW PROGRAM
NMSB1035 LEGACY ELIG. UPDATE SUBROUTINE (COPAY) NEW PROGRAM
RECPFILE PHARMARK RECIPIENT EXTRACT
RSS0202K RECIPIENT IO MODULE
CPAS and MEQC SYSTEMS
PROGRAM PROGRAM TITLE
ID
NMMQ8700 MEQC SELECTION & REPORTS
NMMQ8710 MEQC SAMPLE REPORTS
NMMQ8760 CPAS CLAIM EXTRACT MODULE
NMMQ8765 NEW MEXICO CPAS CLAIM SELECTION REPORTS:
NMMQ8770 CPAS REPORT PROGRAM
NMMQ8785 CPAS LABELS PRINT PROGRAM
NMSQ8772 CPAS/MEQC HISTORY PROFILE REPORT GENE
NMSQ8774 PROVIDER INFORMATION SHEET
NMSQ8776 CLIENT ELIGIBILITY MASTER REPORT
NMSQ8777 PROCEDURE CODE REPORT
NMSQ8778 DIAGNOSIS CODE REPORT
NMSQ8779 DRG CODE REPORT - RR047
DRUG REBATE SYSTEM
PROGRAM PROGRAM TITLE
ID
NMMLDR00 DRUG REBATE CPHIST REBUILD
NMML0090 ADDS AMD UPDATES LABELER RECORDS
NMML0100 EXTRACTS PAID AND ADJUSTED DRUG CLAIMS
NMML0110 MATCH EXTRACT TO DRUG REBATE TABLE
NMML0120 CALCULATE REBATE AND CREATE SUMMARY RECORDS BY NDC
NMML0130 PRODUCES MFG FILES BY LABELER CODE AND MFG INVOICES
NMML0140 PRODUCES A SUMMARY REPORT OF THE DRUG REBATE INVOICES
EMC SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMMC835A 5010 EMC X835 ELECTRONIC REMITTANCE ADVICE
NMMC835B 5010 SELECT X835 PROVIDERS FOR NMMC835A
NMIW1210 NM CONTROL FILE I/O MODULE
NMIW1230 INPUT MEDIA I/O MODULE
NMIW1240 CROSSOVER TEMP FILE I/O MODULE
NMMWJP00 CONVERT CYFD TO NSF FORMAT
NMMW1000 STORE JULIAN DATE TO FLAT FILE
NMMW1010 STORE JULIAN DATE AND FILE ID TO FILE
NMMW1100 ADD DELIMITER TO CLAIM FILE
NMMW1150 ADD DELIMITER TO CROSSOVER CLAIM FILE
NMMW1200 EMC CLAIM CONVERSION DRIVER
NMMW1300 LEVEL 1 PROGRAM FOR MMIS FILE MAINTENANCE
NMMW1400 HCBS WAIVER DATA CONVERSION TO NSF FORMAT
NMMW1500 CLAIMS ACCEPTED/REJECTED REPORT PROGRAM
NMMW1700 REMOVE CONTROL INFO FROM CLAIM RECORDS
NMMW1710 REMOVE CONTROL INFO FROM ENCOUNTER CLAIM RECORDS
NMMW1750 REMOVE CONTROL INFO FROM CLAIM RECORDS
NMMW1776 CLAIM OVERRIDE INSERTION PROGRAM
NMMW1900 NEW MEXICO ENCOUNTERS EDIT PROGRAM
NMMW2000 BATCH BALANCING (CLAIM-CNT AND RECORD-CNT) FOR INCOMING 837 EMC BATCHES
NMMW2010 POD BALANCING FILE PROCESSOR
NMMW2015 POD FILE BALANCING MAIN PROGRAM
NMMW2050 CONVERT COMP-3 INPUT FILE TO MMIS STANDARD FORMAT USING BINARY (COMP) FIELDS
NMMW2100 EMC PRE-ADJUDICATION DRIVER
NMMW277A 5010 EMC X277CA CLAIM ACKNOWLEDGMENTS
NMMW277S 5010 EMC X277CA DAILY SUMMARY REPORT
NMMW3300 COCR PREPROCESSOR FOR HCFA CLAIMS
NMMW3320 COCR PREPROCESSOR FOR DENTAL CLAIMS
NMSW1201 CONVERT HCFA NSF TO MMIS FORMAT
NMSW1205 CONVERT UB-04 NSF TO MMIS FORMAT
NMSW1301 CONVERT HCFA CROSSOVER NSF TO MMIS FORMAT
NMSW1305 CONVERT UB-04 CROSSOVER NSF TO MMIS FORMAT
NMSW2101 EMC 837 MEDICAL CLAIMS PRE-ADJUDICATION MODULE
NMSW2102 EMC 837 INSTITUTIONAL CLAIMS PRE-ADJUDICATION MODULE
NMSW2103 EMC CROSSOVER 837 MEDICAL CLAIMS PRE-ADJUDICATION MODULE
NMSW2104 UB-04 DATA CONVERSION TO NM MMIS FORMAT FOR UB-04 CROSSOVERS
NMXMLPRT GENERIC XML DATASTREAM PRINT MODULE
NMMQPRNT NEW MEXICO MQ PRINT
FINANCIAL SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMMF1000 FINANCIAL REPORTING CLAIM EXTRACT INTERFACE
NMMF2000 PRODUCE ACCOUNTING TRANSACTIONS AND FRONT END CONSOLIDATION REPORT
NMMF2010 UPDATE THE TRANSACTION CODE AMOUNT WRAP FILE
NMMF2020 CREATE NON-STATE INSTITUTIONAL SUMMARY REPORT
NMMF2030 UPDATE STATE PROVIDER SUMMARY WRAP FILE
NMMF2040 CREATE STATE INSTITUTIONAL SUMMARY REPORT
NMMF2050 CREATE NM MEDICAID BENEFITS REPORT
NMMF2060 CREATE EXP DISTRIB SUMMARY WKLY/MTHLY REPORT
NMMF2070 CREATE CANCEL/STOP/STATE WKLY/MTHLY REPORT
NMMF4000 CREATE THE MONTHLY MISCELLANEOUS PAYOUTS BY PROVIDER REPORT
NMMF4010 CREATE EXPENSE DISTRIBUTION DETAIL REPORT
NMMF4020 CREATE EXPENSE DISTRIBUTION DETAIL BY FFP REPORTS
NMMF4030 CREATE ACCTS RECEIVABLE EXTR BY PROVIDER REPORTS
NMMF4035 CREATE ACCOUNT RECEIVABLE BY TRANS TYPE REPORT
NMMF4040 CREATE ACCTS RECEIVABLE DETAIL BY TRANS TYPE REPORT
NMMF4050 CREATE CANCELLED CHECKS BY WARRANT # REPORT
NMMF4060 CREATE CANCELLED CHECKS BY FCN # REPORT
NMMF4070 CREATE EXPENSE DISTRIB INTERMEDIATE SUMMARY REPORT (BY OBJ CODE)
NMMF4080 CREATE EXPENSE DISTRIB INTERMEDIATE SUMMARY REPORT (BY COST CTR)
NMMF4090 CREATE MONTHLY ACCOUNTING EXTRACT FILE TO HSD
GENERAL SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMMG0014 MMIS DATE UTILITY MODULE
NMMG0100 G_SYS_LST_PARAM_RPT
NMMG0200 G_SYS_LST_RPT
NMMG0300 DISABLE ONLINE
NMMG0400 ENABLE ONLINE
NMMG0500 DELETE OLD ERROR LOG ENTRIES
NMMG0600 DELETE OLD LOCK ENTRIES
NMMG1000 ONLINE UPDATE ACTIVITY REPORT
NMOG0100 VERIFY USERID AND PASSWORD
NMOG0200 CHANGE PASSWORD
NMOG0300 CICS MQ TRANS MASTER HANDLER
NMSG0020 PROGRAMMER INTERFACE TO MQSERIES QUEUES FOR CICS OR BATCH
NMSG0052 LE ENVIROMENT ABEND HANDLER FOR MQ SERIES MSG
NMSG8000 SET ADDRESS SPACE FOR BATCH ABORT
NMSG9901 GENERALIZED PROCESS SUMMARY SUBROUTIN
NMSG9902 GENERALIZED DB2 ERROR LOGGING SUBROUT
NMSG9903 CHECKPOINT/RESTART - COMMIT
NMSG9904 CHECKPOINT/RESTART - ROLLBACK
INTERNAL INTERFACES
PROGRAM PROGRAM TITLE
ID
NMMJPE01 CLIENT PE EXTRACT PROGRAM (FOR DATA WAREHOUSE)
NMMLCF00 MONTHLY UPDATE OF CPCNTL CONTROL FILE
NMMLCL00 NEW MEXICO CLIENT ROSTER MASTER VSAM
NMMLCX30 DATA WAREHOUSING FEE FOR SERVICE FORMATTER
NMMLCX40 CAPITATIONS DW TABLE LAYOUT BUILDER
NMMLCX50 ENCOUNTERS DATA WAREHOUSE LAYOUT BUILDER
NMMLPG00 NEW MEXICO DATA WAREHOUSE PROVIDER PR
NMMJCX10 CLAIM FLAT FILE FORMATTER
NMMJCX15 DATA WAREHOUSE CLAIM TABLE FILE BUILD
NMMJRF32 DATA WAREHOUSE MCARE CVRG PROCEDURE FILE BUILD
NMMJRF35 DATA WAREHOUSE R_DRUG_LBLR_TB DOWNLOAD
NMMJRF36 DATA WAREHOUSE R_DRUG_DESI_TB DOWNLOAD
NMMJRF37 DATA WAREHOUSE R_DRUG_TERM_DT_TB DOWNLOAD
NMMJCL10 DATA WAREHOUSE RECPTPLC FILE BUILD
NMMJCL13 DATA WAREHOUSE MBRMOCOE FILE BUILD
NMMJCL14 DATA WAREHOUSE MBRMOMCO FILE BUILD
NMMJCL30 DATA WAREHOUSE RECPCVCD FILE BUILD
NMMJCL30 DATA WAREHOUSE RECPCARR FILE BUILD
NMMJCX70 DATA WAREHOUSE MBRMOINM FILE BUILD
NMMJFN01 DATA WAREHOUSE SHAREDTL FILE BUILD
NMMJCX64 EXTRACT FOR DATA WAREHOUSE CMS64 TABLE
NMMJCX6B CLAIMS FORMATTAED CMS64 REJECT FILE
NMMJMC02 CENTENNIAL CARE ROSTER DOWNLOAD
MANAGED CARE SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMDH0100 CENTENNIAL CARE ELIGIBILITY DETERMINATION SUBROUTINE
NMDH0145 CENTENNIAL CARE RETROACTIVE ENROLLMENT SUBROUTINE
NMDH1120 MANAGED CARE AUTOMATIC DISENROLLMENT
NMDH1130 MANAGED CARE PLAN ELIGIBILITY DETERMINATION
NMMH0100 CENTENNIAL CARE REASSESSMENT, ENROLLMENT, AND DISENROLLMENT
NMMH0120 CENTENNIAL CARE CASE CONTINUITY ENROLLMENT
NMMH0130 CENTENNIAL CARE RANDOM CASE ASSIGNMENT RANDOM NUMBER GENERATION
NMMH0140 CENTENNIAL CARE RANDOM CASE ASSIGNMENT PART II
NMMH0145 CENTENNIAL CARE RETROACTIVE ENROLLMENT DRIVER
NMMH0150 CENTENNIAL CARE NOTICE GENERATION
NMMH0230 CENTENNIAL CARE MCO NOTIFICATION FILE INTERFACE
NMMH0400 CENTENNIAL CARE CLAIM CAPITATION GENERATION
NMMH0405 CENTENNIAL CARE CAPITATION ERROR IH470 ROSTER INTERFACE CREATION
NMMH0410 CREATE CENTENNIAL CARE CAPITATION CLAIMS
NMMH0430 CENTENNIAL CARE CAPITATION SUMMARY REPORT
NMMH0440 CENTENNIAL CARE MCO ENROLLMENT COUNTS REPORT
NMMH0450 CENTENNIAL CARE SUPPLEMENTAL ENROLLMENT ROSTER FILE INTERFACE
NMMH0451 CENTENNIAL CARE SUPPLEMENTAL ENROLLMENT ROSTER TABLE UPDATE
NMMH0452 CENTENNIAL CARE SUPPLEMENTAL ENROLLMENT ROSTER RECONCILIATION
NMMH0453 DOH FAMILY INFANT TODDLER (FIT) ELIGIBILITY EXTRACT
NMMH0454 MANAGED CARE INFORMATIONAL RECORD INTERFACE
NMMH0480 CENTENNIAL CARE TPL INTERFACE PROGRAM
NMMH1610 CREATE DATE OF DEATH RECOUPMENT INPUT FILE
NMMH1615 EXPAND MONTHS FILE FOR LOSS OF ELIG RECOUPMENT
NMMH1620 ANALYZE CLIENTS FOR LOSS OF ELIG RECOUPMENTS
NMMH1650 CREATE RECOUPMENT SPANS FOR RETROACTIVE MEDICARE/DEATH/LOSS OF ELIG OVERLAP MONTHS
NMMH1690 MANAGED CARE RECOUPMENT RECONCILIATION
NMMH2300 MCO NOTIFICATION FILE INTERFACE
NMMH2400 RANDOM ASSIGNMENT ERROR REPORT
NMMH2500 NOTICE ERROR REPORT
NMMH2600 MEDICARE RECOUPMENT ERROR REPORT
NMMH4011 LOCKIN UNLOAD SYSIN GENERATOR
NMMH4900 PLAN FILE REPORT
NMMH834C CREATE 834 IRL FROM SUPPLEMENTAL ROSTER/TPL
NMMH9200 ENROLLMENT AND CUTOFF DATE PARAMETER UPDATE
NMOH0130 CENTENNIAL CARE PRE-ENROLLMENT ELIGIBILITY VALIDATION
NMOH0140 CENTENNIAL CARE CLIENT ENROLLMENT
NMOH1100 CLIENT LOCKIN WINDOW UPDATE PROCESSOR
NMOH1200 OCTEL SYSTEM HEALTH CHECK
* - AN ASTERISK AFTER THE FOLLOWING PROGRAM NAMES INDICATES THAT THEY ARE NOW OBSOLETE AS A RESULT OF VARIOUS MANAGED CARE SUBSYSTEM MODIFICATIONS
NMDH0910* COLTS ELIGIBILITY DETERMINATION SUBROUTINE
NMDH0920* COLTS RETROACTIVE ENROLLMENT SUBROUTINE
NMDH1110* SALUD ELIGIBLITY DETERMINATION
NMDH111R* SALUD/NMRX ELIGIBLITY DETERMINATION
NMMH0900* COLTS REASSESSMENT, ENROLLMENT AND NOTIFICATION
NMMH1100* MC ENROLLMENT ELIGIBILITY, VALIDATION, AND NOTIFICATION
NMMH1150* MANAGED CARE SCI REASSESSMENT
NMMH1200* MANAGED CARE CASE CONTINUITY ENROLLMENT
NMMH1300* RANDOM CASE ASSIGNMENT RANDOM NUMBER GENERATION
NMMH1400* RANDOM CASE ASSIGNMENT PART II
NMMH1450* COLTS RETROACTIVE ENROLLMENT PROGRAM
NMMH1500* MANAGED CARE NOTICE GENERATION
NMMH1550* MANAGED CARE POTENTIAL ENROLLEE P/A FILE EXTRACT
NMMH1600* IDENTIFY RETROACTIVE MEDICARE VERSUS MANAGED CARE OVERLAP PERIODS
NMMH2100* ENROLLMENT VALIDATION SUMMARY REPORT
NMMH2200* CPS CHILDREN ELIGIBLE FOR ENROLLMENT
NMMH3000* MANAGED CARE SPECIAL NEEDS CLIENT AND CLAIMS EXTRACT
NMMH4000* MANAGED CARE CLAIM CAPITATION GENERATION
NMMH4010* CAPITATION CLAIM MATCH WITH LOCKIN MODULE
NMMH4100* CREATE MANAGE CARE CAPITATION CLAIMS
NMMH4200* CLIENT CAPITATION ERROR REPORT
NMMH4300* MANAGED CARE CAPITATION SUMMARY REPORT
NMMH4400* MCO ENROLLMENT COUNTS REPORT
NMMH4500* MANAGED CARE ENROLLMENT ROSTER FILE INTERFACE
NMMH4505* MANAGED CARE ENROLLMENT ROSTER TABLE UPDATE
NMMH4510* MANAGED CARE ENROLLMENT ROSTER RECONCILIATION
NMMH4600* MANAGED CARE ENROLLMENT ROSTER HEADER/TRAILER
NMMH4700* MANAGED CARE COHORT HISTORY UPDATE
NMMH4800* MANAGED CARE TPL INTERFACE PROGRAM
NMMH4810* MANAGED CARE OPTUM HEALTH TPL FILE
NMMH5500* MANAGED CARE ENCOUNTER HISTORY EXTRACT
NMMH5600* MANAGED CARE ENCOUNTER DUPLICATION ELIMINATOR
NMMH6000* MANAGED CARE ENCOUNTER CLIENT EXTRACT
NMMH6100* BEHAVIORAL HEALTH ENCOUNTER REPORT
NMMH6200* PRIMARY AND SPECIALIST CARE ENCOUNTER REPORT
NMMH6300* ACUTE AND CHRONIC CARE ENCOUNTER REPORT
NMMH6400* CHILDREN'S HEALTH ENCOUNTER REPORT
NMMH6500* WOMEN’S HEALTH ENCOUNTER REPORT
NMMH6600* PROVIDER TYPE AND SPECIALTY ENCOUNTER REPORT
NMMH6900* MC ENCOUNTER REPORT FORMATTER
NMMH6999* ENCOUNTER COHORT SUMMARY REPORT
NMMH8000* MANAGED CARE MASS CHANGE CLIENT IDENTIFICATION
NMMH8100* MANAGED CARE MASS CHANGE SELECTIVE CLIENT EXTRACT
NMMH8200* MASS CHANGE ENROLLMENT
NMMH8300* MASS CHANGE SUMMARY REPORT
NMMH834A* LEGACY CREATE 834 IRL
NMMH9500* MANAGED CARE POTENTIAL ENROLLEE INTERFACE
NMMH9800* MANAGED CARE TPL INTERFACE SPLIT
NMSH1150* 1 MONTH DROP REENROLLMENT SUBROUTINE
NMOH1300* OCTEL PRE-ENROLLMENT ELIGIBILITY VALIDATION
NMOH1400* OCTEL CLIENT ENROLLMENT
MEVS
PROGRAM PROGRAM TITLE
ID
NMOY0200 NEW MEXICO CLAIMS INQUIRY CICS ONLINE PROCESSOR
NMOY0841 NEW MEXICO MEVS/AUDIO/FAXBACK RESPONSE
RECIPIENT ELIGIBILITY – CICS INTERFACE
NMOY0850 CICS PROVIDER-WARRANT PROCESSOR
PRIOR AUTHORIZATION SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMMA0100 PRIOR AUTHORIZATION REFORMAT
NMMA0107 PRIOR AUTHORIZATION DETAIL PROVIDER REQUEST
NMMA0108 PRIOR AUTHORIZATION DETAIL CLIENT REQUEST
NMMA0109 PRIOR AUTHORIZATION DETAIL PROVIDER REQUEST
NMMA0110 PRIOR AUTHORIZATION PROVIDER REQUEST
NMMA0111 PRIOR AUTHORIZATION CLIENT REQUEST LIST
NMMA0113 PRIOR AUTHORIZATION SUMMARY PROVIDER
NMMA0114 PRIOR AUTHORIZATION SUMMARY PROVIDER
NMMA0214 UPDATE THE PRIOR AUTHORIZATION WEEKLY
NMMA0215 SUSPENDED SERVICES OVER 5 DAYS OLD
NMMA0216 REMAINING UNITS REPORT
NMMA0217 REMAINING UNITS BY CASE MANAGER REPORT
NMMA0314 UPDATE THE PRIOR AUTHORIZATION MONTHLY
NMMA0317 PAS NOT USED WITHIN 6 MONTHS OF APPROVAL
NMMA3000 PA RECYCLE PROGRAM
NMMA8100 BLUE CROSS BLUE SHIELD INTERFACE UPDATE
NMMA8110 TPA PA INTERFACE UPDATE
NMMA8200 PRIOR AUTHORIZATION FILE SPLITTER PROGRAM
NMMA8300 CMS TO OMNICAID AND PDCS INTERFACE
NMMA8400 BCBS TO PDCS INTERFACE
NMMA8500 PRINT PRIOR AUTHORIZATION BATCH
NMMA8600 PRINT PRIOR AUTHORIZATION ERROR
NMMA8700 PRIOR AUTHORIZATION PDCS TO OMNICAID
NMMA8800 PURGING PRIOR AUTHORIZATIONS
NMOA0500 PRIOR AUTHORIZATION ONLINE CONTROL MODULE
NMOA0510 PRIOR AUTHORIZATION ONLINE EDIT MODULE
PROVIDER SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMMP0100 DAILY ACTIVITY
NMMP0300 PROVIDER INFORMATION SHEET
NMMP0400 MAILING LABELS
NMMP0450 INSERT PROVIDERS INTO REPORT REQUEST TABLE
NMMP0600 NEW MEXICO LETTERS GENERATOR
NMMP0900 PROVIDER CERTIFICATION
NMMP1100 PENDING APPLICATION REMINDER
NMMP1300 PROVIDER VERIFICATION
NMMP1600 PROVIDER DUPLICATE SSN REPORT
NMMP1700 PROVIDER DUPLICATE NAME REPORT
NMMP1800 PROVIDER DUPLICATE LICENSE REPORT
NMMP1900 PROVIDER CLIA UPDATE REPORT PROGRAM
NMMP2200 MANAGED CARE AFFILIATION INTERFACE
NMMP2300 BUILD PROVIDER TO PDCS PHYSICIAN, PHARMACY - FFS
NMMP2400 ACES PROVIDER EXTRACT
NMMP2600 UPDATE THE PROVIDER BEGIN AND END DATES
NMMP3500 SCHEDULE REPORTS
NMMP3600 BCBS PROVIDER FILE INTERFACE
NMMP3700 BUILD PROVIDER RECONCILIATION FILE TO BE SET TO PDCS
NMMP3800 ANNUAL HOSPICE AUDIT REPORT
NMMP3900 QUARTERLY HHC AND PCO AUDIT REPORT
NMMP4000 LEIE Database Match Report
NMMP7000 STATE LEVEL REGISTRY INTERFACE
NMPP001 CREATE NEW PROVIDER ID NUMBER
REFERENCE SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMMR3200 HCPCS PROCEDURE TEXT UPDATE PROGRAM
NMMR3400 HCPCS PROCEDURE UPDATE PROGRAM
NMMR3405 HCPCS MODIFIER UPDATE PROGRAM
NMMR3410 HCPCS ADD WORKSHEET GENERATOR
NMMR3415 HCPCS QUARTERLY PROCEDURE CODE ADD
NMMR3416 HCPCS QUARTERLY LONG DESCRIPTION ADD
NMMR3415 HCPCS QUARTERLY PROCEDURE CODE ADD
NMMR3416 HCPCS QUARTERLY LONG DESCRIPTION ADD
NMMR3500 PDCS DRUG UPDATE PROGRAM
NMMR3510 DRUG REBATE UPDATE FROM CMS DATA PROGRAM
NMMR3600 DRUG ASP UPDATE PROGRAM
NMMR3700 CDL PROCEDURE UPDATE PROGRAM
NMMR3701 CDL PROCEDURE UPDATE PROGRAM
NMMR3800 CPT PROCEDURE UPDATE PROGRAM
NMMR3900 ICD9/DX UPDATE PROGRAM
NMMR4000 PARAMETER REPORT DRIVER
NMMR4100 SELECTIVE DRUG PARAMETER REPORTS FILE
NMMR4200 REFERENCE PARAMETER FILE REPORT GENERATOR
NMMR4300 R_DRUG_SMAC_TB TABLE LOAD PROGRAM
NMMR6000 HCFA MANDATE PROCEDURE UPDATE PROGRAM
NMMR6100 HCFA MANDATE UPDATE ACTIVITY REPORT
NMMR7000 DME MANDATE PROCEDURE UPDATE PROGRAM
NMMR7001 DME MANDATE PROCEDURE UPDATE PROGRAM 2009
NMMR7002 OPPS Procedure Code Annual Update
NMMR7005 GENERIC FEE PRICING PROCEDURE UPDATE PROGRAM
NMMR7006 GENERIC FEE PRICING UPDATE ACTIVITY REPORT
NMMR7100 DME UPDATE ACTIVITY REPORT
NMMR7200 REFERENCE PROCEDURE PRICING TABLE UPDATE
NMMR8000 UR CONTRA PARAMETERS REPORT
NMSR3402 HCPCS PROCEDURE UPDATE EXCEPTION REPORT
NMSR4001 RATES REPORT
NMSR4002 TEXT FILE REPORTS
NMSR4003 PREPAY UTILIZATION REVIEW CRITERIA REPORT
NMSR4006 CLAIM EXCEPTION SUMMARY REPORT
NMSR4007 PA EXCEPTION CONTROL SUMMARY LISTING
NMSR4010 DRG CURRENT PRICING REPORT
NMSR4011 DRG CURRENT PRICING REPORT
NMSR4012 DRG CURRENT PRICING REPORT
NMSR4013 PROVIDER CURRENT RATES FILE LIST
NMSR4015 PA EXCEPTION CONTROL FILE LIST REPORT
NMSR4017 CLAIM EXCEPTION CONTROL FILE LIST REPORT
NMSR4019 DIAGNOSIS CODE REPORT
NMSR4020 CURRENT FEE SCHEDULE
NMSR4021 SELECTIVE PROCEDURE CODE REPORT
NMSR4022 PROCEDURE CODE REPORT
NMSR4023 REVENUE CODE REPORT
NMSR4024 ICD9 SURGICAL PROCEDURE CODE REPORT
NMSR4025 PAR EXCEPTION CONTROL SUMMARY LISTING
NMSR4099 REFERENCE PARAMETER REPORT COVER PAGE
NMSR4201 SELECTIVE DRUG CODE REPORT
THIRD PARTY LIABILITY (TPL) SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMMT0001 UPDATE TPL DAILY BATCH CYCLE DATE
NMMT0002 UPDATE TPL WEEKLY BATCH CYCLE DATE
NMMT0005 TPL ANNUAL UPDATE OF PARM 8832 PROGRAM
NMMT0150 CARRIER LISTING REPORT PROGRAM
NMMT0201 TPL RETRO BILLING MASS UPDATE
NMMT0205 TPL MASS CHANGE PROCESSOR
NMMT0206 TPL MASS ADJUSTMENT FILE MERGER
NMMT0207 TPL MASS ADJUSTMENT CLAIM SELECTOR
NMMT0210 IDENTIFY CLAIMS THAT WOULD HAVE POSTED ‘0761’
NMMT0211 TPL - CREATE '0761' TRIGGERS
NMMT0220 HIPP PAYMENT PROCESS
NMMT0230 HIPP PAYMENT LISTING REPORT PROGRAM
NMMT0235 HIPP MULTIPLE PAYMENT REPORT PROGRAM
NMMT0240 HIPP WARRANT LISTING REPORT PROGRAM
NMMT0250 PRELIMINARY HIPP PAYMENT LISTING
NMMT1190 USER MESSAGE EXTRACT PROGRAM
NMMT1195 TPL USER MESSAGES REPORT PROGRAM
NMMT1270 TPL RESOURCE PURGED RECORD REPORT
NMMT1271 TPL RESOURCE PURGE PROGRAM
NMMT1290 RESOURCE VERIFICATION LETTER PROGRAM
NMMT1850 COVERED ELIGIBLES BY COUNTY REPORT
NMMT7500 RECOVERY CASE LETTERS PROGRAM
NMMT7501 UPDATE BILLING FILE FOR ADJUDICATED CLAIMS
NMMT7510 CREATE PDCS FILE FROM RECOVERIES FOR PDCS INTERFACE
NMMT7515 CLOSES BILLING RECORDS
NMMT7520 SELECT BILLING RECORDS FOR TPL BILLING
NMMT7521 INSERT BILL SENT ROW FOR BILLS TO BE SENT
NMMT7524 CMS-1500 PHARMACY CLAIM BILLING FACSIMILE
NMMT7525 POST-PAYMENT RECOVERY CLAIMS UNDER THE THRESHOLD RPT
NMMT7526 MEDICAL/DENTAL CLAIM BILLING FACSIMILE
NMMT7529 LETTER EXTRACT PROGRAM
NMMT7530 LETTER EXTRACT UPDATE PROGRAM
NMMT7531 UB-04 CLAIM BILLING FACSIMILE PROGRAM
NMMT7532 TPL RECOVERY CASE NOTICE NON-RESPONSE
NMMT7535 NON RESPONSIVE CARRIER BILLING REPORT
NMMT7536 MONTHLY CARRIER FILE PRODUCING PROGRAM
NMMT7541 GENERATE MSQ'S
NMMT7543 MSQ TRACKING REPORT
NMMT7544 MSQ FORM
NMMT7552 TPL BILLING FORM PRINT STATISTICS REPORT
NMMT7553 TPL BILLING LABELS
NMMT7580 TPL CARRIER BILLING FILE MONTHLY REPORT
NMMT7615 TPL RECOUPMENT REPORT
NMMT7820 TPL BILLING FILE PURGE REPORT
NMMT7831 TPL BILLS OVER XXX DAYS OLD REPORT
NMMT7840 MSQ PURGE
NMMT7843 COST AVOIDANCE SAVINGS ON UNDUPLICATED PAID CLAIM LINES REPORT
NMMT7849 COST AVOIDANCE EXTRACTION UNDUPLICATED DENIED CLAIM DATA
NMMT7850 COST AVOIDANCE SAVINGS ON UNDUPLICATED DENIED LINES REPORT
NMMT7871 RECOVERY CASES CLOSED REPORT PROGRAM
NMMT7880 CARRIER LABEL PRODUCING PROGRAM
NMMT7911 TPL PHARMACY RECOVERY TO PDCS REPORT
NMMT7915 TPL PROCESS ERROR REPORT PROGRAM
NMMT7981 RECOVERY CASE PURGE REPORT
NMMT7982 RECOVERY CASE PURGE
NMMT8999 DETAIL AUDIT EXTRACT FILE CREATION PROCESS
NMMT9000 DETAIL AUDIT REPORT
NMST1552 RECOVERY CASE POLICY HOLDER TAKEBACK 1 LETTER
NMST1553 RECOVERY CASE POLICY HOLDER TAKEBACK 2 LETTER
NMST1555 RECOVERY CASE AMOUNT DUE NOTICE
NMST1556 RECOVERY CASE AMOUNT PAST DUE NOTICE
NMST1557 TPL BILLING DUPLICATE DENIAL LETTTER
NMST1558 BILLING POLICY HOLDER PAID DENIAL
NMST1559 TPL BILLING PROVIDER PAID DENIAL
NMST1560 RECOVERY CASE BILLING LETTER
NMST1562 TPL RECOVERY CASE ADDITIONAL CLAIM HISTORY LETTER
NMST1563 TPL RECOVERY CASE HOMEOWNER TORT LETTER
NMST1565 TPL RECOVERY CASE NON-INTERVENTION LETTER
NMST1567 TPL RECOVERY CASE MASTER CLAIMS
NMST1568 TPL RECOVERY CASE CLIENT LEGAL ACTION LETTER
NMST1569 TPL RECOVERY CASE REQUEST FOR PAYOR INFORMATION
NMST1570 TPL RECOVERY CASE REQUEST FOR PAYOR INFORMATION
NMST1572 PROVIDER REQUEST LETTER
NMST1574 MEDICAL ASSISTANCE REVIEW LETTER
NMST1576 OTHER DENIAL LETTER
NMST1578 TIMELY FILLING LIMIT LETTER
WEB MMIS INTERFACE SUBSYSTEM
PROGRAM PROGRAM TITLE
ID
NMOK0100 WEB Registartion Interface
NMOK0200 User Login Interface
NMOK0300 Claims Summary Interface
NMOK0400 Claims Detail Interface
NMOK0500 Prior Authorization Summary Interface
NMOK0600 Prior Authorization Detail Interface
NMOK0800 Payment History Interface
NMOK0900 Client Eligibility Interface
NMOK0910 Client Presumumptive Eligibility Interface
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