Project Description
In the State of California, Medicaid claims for behavioral health services such as mental health, alcohol, and drug treatment are processed outside of the main Fee-for-Service system. The 25 year old legacy mainframe application operated on software that was no longer supported and was resistant to improvements for meeting HIPAA compliance. Trinity Technology Group, developed Short-Doyle/Medi-Cal (SDMC), an entirely new end-to-end solution with a state-of-the-art claims adjudication system combined with a fully HIPAA compliant, easy to maintain, system for claim submittal and remittance advice generation.