Running the Medicaid Wrap Reconciliation Report

The Medicaid Wrap Reconciliation Report lists Medicaid services provided during a given time period, as required by some states' Medicaid offices.

This report will not run unless you specify a valid Medicaid insurance plan ID.

Information on this report includes:

Billing Provider NPI -- the practice's National Provider ID
Billing Provider Medicaid ID -- the practice's state Medicaid ID
Rendering Provider Medicaid ID -- the claim's treating doctor's state ID
Member First Name -- the patient's first name
Member Last Name -- the patient's last name
MCO Member ID -- the patient's Medicaid ID
Name of MCO Billed -- the insurance company name
Date of Service -- the claim's date of service
Procedure Code -- displays T1015, the HCPCS clinic visit/encounter all-inclusive code
Date Payment Received from MCO -- the date on which the claim has been paid
MCO Paid Amount -- the claim's paid amount
Other Primary Insurance Paid Amount -- the amount paid by a primary insurance carrier

The total of all MCO Paid Amounts and Other Primary Insurance Paid Amounts is also given.