What is ePACES?
What is ePACES?ePACES is the electronic Provider Assisted Claim Entry System of the New York State (NYS) electronic Medicaid New York (eMedNY) system. It is a web-based application that allows providers to request and receive HIPAA-compliant Claim, Eligibility, Claim Inquiry and Prior Approval/Dispensing Validation System (DVS) transactions.
Providers log into ePACES over the Internet and ePACES automatically submits transactions for processing, eliminating the need to mail files on diskettes and tapes. The HIPAA-compliant transactions are electronically transferred to the NYS eMedNY Medicaid Management Information System (MMIS) mainframe. ePACES integrates with the eMedNY system via a Translator, which reformats the data being transferred to a structure expected by the receiving system.
Because ePACES is a web-based application, it is not necessary to distribute application software for provider installation. The most current version of the ePACES application will be delivered to the client PC each time providers access it over the Internet. Providers will need only a PC, browser and connection to the Internet to access ePACES. Providers do not need to install any custom software. The most recent enhancements to the system are outlined in the What's New in ePACES section.