Encounter/Claims Data and Certification of Accuracy Clause Samples

Encounter/Claims Data and Certification of Accuracy. Provider and Practitioners shall submit to Health Plan all data necessary to characterize the context and purposes of each encounter between Practitioners and MA Members and to facilitate claims adjudication in accordance with applicable CMS encounter reporting requirements. If Provider and Practitioners generate data to determine payment on behalf of Health Plan, then Provider and Practitioners must certify (based on best knowledge, information and belief) the accuracy, completeness and truthfulness of all such data.