Medicaid providers automatically have access to the IEC System application and other Internet applications based on its provider type.
If you know the provider's type, review the Provider Application Access topic for a list of the applications a provider business can access.
Payees automatically have access to the IEC System application for receiving remittance advices.
Payees may also request authorization from a Medicaid provider(s) for the IEC System or to access other applications. Payees cannot request authorization from a payor.
Check the HIPAA Transactions Provider Type Cross Reference for a list of transaction types available to a provider business within the IEC System. A payee business would have to request and be granted authorization for the IEC System application in order to send/receive these transactions. The provider's administrator must also grant access to each individual transaction available.
Payees may request authorization for other applications. The applications available are based on the provider's type and whether authorization has been requested and granted.
Payors automatically have access to the IEC System application for checking eligibility and claim status and submitting claims.
Check the Payor Application Access and HIPAA Cross Reference for more information on the HIPAA transactions available. In the future, payors will also be able to receive remittance advices in an HFS-proprietary format.
Businesses in the Other Business category do not have automatic access to Internet applications. These businesses must request and receive authorization from a Medicaid provider or payor, and are allowed to access applications based on
the provider's type in the case of a provider authorization,
the IEC System only in the case of a payor authorization, and
what authorization has been granted by the provider or payor administrator.
Once authorization is granted, other businesses will have only the authorizations that they have been granted.
Note: Other business authorization has specific registration requirements depending on the type of authorization needed. Review the specific requirements for Other Business registration in the Business Rules section of the Other Business Registration Page.
The IEC System has additional limitations on what payee and other business types have access to on behalf of Medicaid providers and payors. HFS requires that providers and payors authorize at a transaction level for the IEC System. It is up to the provider or payor administrator to grant access to the individual transactions available. Check the HIPAA Transactions Provider Type Cross Reference for a list of transactions available for each provider type. Check the Payor Application Access and HIPAA Cross Reference for the transactions available for a payor.
Payee Application Access and HIPAA Cross Reference
Payor Application Access and HIPAA Cross Reference
Provider Application Access
HIPAA Transactions Provider Type Cross Reference