Common use of Source Documents Clause in Contracts

Source Documents. mean documents containing Data that are or may be required as part of a Data Transmission concerning a claim for payment of charges for medical services that a Provider furnishes to a Covered Individual. Source Documents are subject to the security standards of Article V of this Agreement. Examples of Data contained within a Source Document include, without limitation, Individual’s name and identification number, claim number, diagnosis codes for the services rendered, dates of service, service procedure descriptions, applicable charges for the services rendered, the Provider’s name and/or National Standard Identifier, and signature.

Appears in 3 contracts

Sources: Electronic Trading Partner Agreement, Electronic Trading Partner Agreement, Electronic Trading Partner Agreement