Common use of Encounter Data Clause in Contracts

Encounter Data. The record of an Enrollee receiving any item(s) or service(s) provided through Medicaid or Medicare under a prepaid, capitated, or any other risk basis payment methodology submitted to CMS. This record must incorporate the Health Insurance Portability and Accountability Act of 1996 (HIPAA) security, privacy, and transaction standards and be submitted in the ASC X12N 837 format or any successor format.

Encounter Data. The record of an Enrollee a Participant receiving any item(sCovered Item(s) or service(sService(s) provided through Medicaid or Medicare under a prepaid, capitated, or any other risk basis payment methodology submitted to CMS. This record must incorporate the Health Insurance Portability and Accountability Act of 1996 (HIPAA) security, privacy, and transaction standards and be submitted format as specified in the ASC X12N 837 format or any successor formatguidance.

Encounter Data. The record of an Enrollee receiving any item(s) or service(s) provided through Medicaid or Medicare under a prepaid, capitated, or any other risk basis payment methodology submitted to CMS. This record must incorporate the Health Insurance Portability and Accountability Act of 1996 (HIPAA) security, privacyPrivacy, and transaction standards and be submitted in the ASC X12N 837 format or any successor format.

Encounter Data. The record of an Enrollee receiving any item(s) or service(s) provided through Medicaid or Medicare under a prepaid, capitated, or any other risk basis payment methodology submitted to CMSCMS and the Department. This record must incorporate the Health Insurance Portability and Accountability Act of 1996 (HIPAA) HIPAA security, privacy, and transaction standards and be submitted in the ASC X12N 837 format or any successor format.

Encounter Data. The record of an Enrollee receiving any item(s) or service(s) provided through Medicaid or Medicare under a prepaid, capitated, or any other risk basis payment methodology submitted to CMSCMS and the SCDHHS. This record must incorporate the Health Insurance Portability and Accountability Act of 1996 (HIPAA) HIPAA security, privacy, and transaction standards and be submitted in the ASC X12N 837 format or any successor format.

Encounter Data. The record of an Enrollee receiving any item(s) or service(s) provided through Medicaid or Medicare under a prepaid, capitated, or any other risk basis payment methodology submitted to CMSCMS and RI EOHHS. This record must incorporate the Health Insurance Portability and Accountability Act of 1996 (HIPAA) HIPAA security, privacy, and transaction standards and be submitted in the ASC X12N 837 format or any successor format.

Encounter Data. The record of an Enrollee receiving any item(s) or service(s) provided through Medicaid or Medicare under a prepaid, capitated, or any other risk basis payment methodology that are submitted to CMS. This record must incorporate the Health Insurance Portability and Accountability Act of 1996 (HIPAA) security, privacyPrivacy, and transaction standards and be submitted in the ASC X12N 837 format or any successor format.