Encounter. Any Health Care Service or bundle of related Covered Services provided to one Enrollee by one Health Care Professional within one time period. Any Covered Services provided must be recorded in the Enrollee’s health record. – Detailed data about individual services provided by a capitated managed care entity. The level of detail about each service reported is similar to that of a standard claim form.
Appears in 2 contracts
Sources: Qualified Health Plan Issuer Contract, Qualified Health Plan Issuer Contract
Encounter. Any Health Care Service or bundle of related Covered Services provided to one Enrollee by one Health Care Professional within one time period. Any Covered Services provided must be recorded in the Enrollee’s health record. Encounter Data – Detailed data about individual services provided by a capitated managed care entity. The level of detail about each service reported is similar to that of a standard claim form. Enrollee – Enrollee means each and every individual enrolled for the purpose of receiving health benefits.
Appears in 1 contract
Encounter. Any Health Care Service or bundle of related Covered Services provided to one Enrollee by one Health Care Professional within one time period. . Any Covered Services provided must be recorded in the Enrollee’s health record. Encounter Data – Detailed data about individual services provided by a capitated managed care entity. The level of detail about each service reported is similar to that of a standard claim form. Enrollee – Enrollee means each and every individual enrolled for the purpose of receiving health benefits.
Appears in 1 contract