Encounter definition

Encounter means a Covered Service or group of Covered Services delivered by a Provider to a Member during a visit between the Member and Provider. This also includes Value-added Services. Encounter Data means data elements from Fee-for-Service claims or capitated services proxy claims that are submitted to HHSC by the HMO in accordance with HHSC’s required format for Medicaid and CHIP HMOs.
Encounter means the record of a service submitted to or by the Division and processed by AHCCCS that is rendered by a provider registered with AHCCCS to a member who is enrolled with the Division on the date of service for which the Division incurs a financial liability (A.A.C. R9-22-107.13).

Examples of Encounter in a sentence

  • Encounter data for billing must be collected and submitted as described in Exhibit 3 attached hereto and incorporated herein by this reference.

  • Occupy Wall Street as Encounter The Occupy Wall Street movement took Zuccotti Park on September 17th, 2011.

  • Pope Francis, Encounter with journalists on the flight to Manila, January 15, 2015.

  • Gribetz, Defining Neighbors: Religion, Race and the Early Zionist-Arab Encounter (Princeton: Princeton University Press, 2014), 90–91.

  • See generally the transcripts of ABC Radio National Programme Encounter of 5 November 2006.


More Definitions of Encounter

Encounter means an instance of an individual presenting at the emergency center who satisfies the criteria in section R386-702-3(2); and
Encounter means an individual service or procedure provided to an Enrollee that would result in a claim if the service or procedure were to be reimbursed as FFS under the HFS Medical Program.
Encounter means a Covered Service or group of Covered Services delivered by a Provider to a Member during a visit between the Member and Provider. This also includes Value-added Services. Encounter Data means data elements from Fee-for-Service claims or capitated services proxy claims that are submitted to HHSC by the MCO in accordance with HHSC’s required format for Medicaid and CHIP MCOs. Enrollment Report/Enrollment File means the daily or monthly list of Eligibles that are enrolled with an MCO as Members on the day or for the month the report is issued. EPSDT means the federally mandated Early and Periodic Screening, Diagnosis and Treatment program contained at 42 U.S.C. 1396d(r). The name has been changed to Texas Health Steps in the State of Texas. Exclusive Provider Organization (EPO) means an insurer with an Exclusive Provider Benefit Plan approved by TDI in accordance with 28 T.A.C. §3.9201-3.9212
Encounter means a face-to-face visit, which may include a visit using telemedicine, between a patient and a primary care provider during which primary care services are provided.
Encounter means a face to face contact between a health care professional and a CDIB cardan IHS eligible SoonerCare member for the provision of medically necessary Title XIX or Title XXI covered services through an IHS or Tribal 638 facility or an urban Indian clinic within a 24-hour period ending at midnight, as documented in the patient's record.
Encounter means a covered service or group of services delivered by a provider to a Member during a visit between the Member and provider. This also includes value-added services. Encounter data means data elements from fee-for-service claims or capitated services proxy claims that are submitted to TDH by HMO in accordance with TDH's "HMO Encounter Data Claims Submission Manual".