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New Medicaid computer system plagued with glitches

The Columbian
Published: December 5, 2010, 12:00am

SEATTLE (AP) — Washington state’s new computer system for processing Medicaid payments is failing to process hundreds of thousands of claims.

The Seattle Times reports that some doctors and clinic have stopped taking new Medicaid patients until they get paid for ones they’ve already treated.

The Web-based program ProviderOne by vendor Client Network Services Inc. launched in May. The system processes claims submitted by health-care providers on behalf of the state’s poorest patients.

Because of glitches, the computer system has “suspended” thousands of claims, which then must be processed by hand. A state report in mid-November said there was a total backlog of about 271,000 suspended claims.

Officials with the state and CNSI say the problems are being worked out and the state soon will be able to handle the backlog.

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Information from: The Seattle Times, http://www.seattletimes.com

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