Common use of Data Validation Clause in Contracts

Data Validation. Encounter data is currently defined by AHS as a “claim”. All claims for payments are currently submitted to HP and undergo a series of automated edits and audits to ensure accuracy, timeliness, correctness, logic, consistency and completeness. Any claim failing edits will be rejected and must be re-submitted. Claims data will be collected in a format that is consistent with the HIPAA transaction standards in place on the date of service. Claims must represent services provided to Global Commitment to Health Demonstration enrollees only. DVHA will perform validation on a random sample of all claims to ensure that services were actually provided. AHS will have direct access to all information systems.

Data Validation. Encounter data is currently defined by AHS as a “claim”. All claims for payments are currently submitted to HP Gainwell Technologies and undergo a series of automated edits and audits to ensure accuracy, timeliness, correctness, logic, consistency and completeness. Any claim failing edits will be rejected and must be re-re- submitted. Claims data will be collected in a format that is consistent with the HIPAA transaction standards in place on the date of service. Claims must represent services provided to Global Commitment to Health Demonstration enrollees only. DVHA will perform validation on a random sample of all claims to ensure that services were actually provided. AHS will have direct access to all information systems.