Submission of Encounter Data. The state shall submit encounter data to the Medicaid Statistical Information System (MSIS) and when required T-MSIS (Transformed MSIS) as is consistent with Federal law. The state must assure that encounter data maintained at managed care organizations can be linked with eligibility files maintained at the state.
Submission of Encounter Data. 16.8.1 The Contractor shall establish an efficient information system to maintain all data pertaining to Enrollee Encounters, Claims processing and rapid transmission of all the information required by ASES.
Submission of Encounter Data. The State shall submit encounter data submitted by GNOCHC providers to the Medicaid Statistical Information System (MSIS) as is consistent with Federal law, policy and regulation. The State must assure that encounter data maintained at GNOCHC providers/clinics can be linked with eligibility files maintained by the State.
Submission of Encounter Data. HC agrees that its Participating Primary Care Practitioners shall submit encounter data for all services rendered to Enrollees to ABCHP within ninety(90) days of the date of service using the CMS1500 or UB04 claim forms. The completed claim form shall include current CPT-4 codes, place of service codes, revenue codes, appropriate ICD-9-CM codes, the PCP name and National Practitioner Identifier (NPI).
Submission of Encounter Data. Pharmacy agrees to submit to Medco Health or such other party designated by Medco Health in the form prescribed by Medco Health, all data required to be submitted in accordance with 42 C.F.R. 422.502(a)(8), 422.257 and 422.502(l)(3). Pharmacy certifies as to the completeness, truthfulness, and accuracy of such data that it shall submit.
Submission of Encounter Data. Provider hereby acknowledges that Company is required to provide CMS and other federal and state regulatory agencies and accrediting organizations with encounter data as requested by such agencies and organizations. Such data may include medical records and all other data necessary to characterize each encounter between Provider and a Medicare Member. Provider agrees to cooperate with Company and to provide Company with all such information in such form and manner as requested by Company. Provider agrees to immediately notify Company if any encounter data that Provider submitted to Company for Medicare Members is inaccurate, incomplete or erroneous, and cooperate with Company to correct erroneous encounter data to ensure Company’s compliance with Medicare laws, rules and regulations and CMS instructions.
Submission of Encounter Data. 16.4.1 Providers shall furnish Encounter Data to the Contractor per Section 17.3.3 and Attachment 26 to this Contract on a monthly basis. The Data shall be submitted regardless of the payment arrangement, capitated or otherwise, agreed upon between the Contractor and the Provider. Encounter Data for all items and services provided by Network Providers, even if the Network Provider is reimbursed on a Capitated basis, must be submitted with the paid field indicating the allowed amount, even if the amount is zero (0) dollars.
Submission of Encounter Data. APS shall, and shall require all MHSA Providers and "downstream" entities with which APS contracts to, submit to CHC in the form prescribed by CHC, all data, including medical records data, required to be submitted in accordance with 42 C. F. R. 422.502(a)(8), 422.257, and 422.502(l)(3). APS and APSH hereby certify, and shall require that each MHSA Provider and "downstream" entity with which APS contracts certifies, as to the completeness, truthfulness and accuracy of such data submitted to CHC by APS or such MHSA Provider or "downstream" entity.
Submission of Encounter Data. The State will submit encounter data to the Medicaid Statistical Information System (MSIS) system, as is consistent with Federal law and section IX of this document. The State must assure that encounter data maintained at the MCO and provider level can be linked with eligibility files maintained by the State.
