Common use of Claims/Encounter History Files Clause in Contracts

Claims/Encounter History Files. The Contractor shall maintain two (2) years active history of adjudicated claims and encounter data for verifying duplicates, checking service limitations, and supporting historical reporting. For drug claims, the Contractor may maintain nine (9) months of active history of adjudicated claims/encounter data if it has the ability to restore such information back to two (2) years and provide for permanent archiving in accordance with Article 3.1.

Appears in 6 contracts

Samples: Contract to Provide Services, Contract to Provide Services, Contract to Provide Services

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Claims/Encounter History Files. The Contractor contractor shall maintain two (2) years active history of adjudicated claims and encounter data for verifying duplicates, checking service limitations, and supporting historical reporting. For drug claims, the Contractor contractor may maintain nine (9) months of active history of adjudicated claims/encounter data if it has the ability to restore such information back to two (2) years and provide for permanent archiving in accordance with Article 3.13.

Appears in 3 contracts

Samples: Contract to Provide Services (Centene Corp), Agreement to Provide Hmo Services (Centene Corp), Contract to Provide Services (Amerigroup Corp)

Claims/Encounter History Files. The Contractor contractor shall maintain two (2) years active history of adjudicated claims and encounter encounter,data for verifying duplicates, checking service limitations, and supporting historical reporting. For drug claims, the Contractor contractor may maintain nine (9) months of active history of adjudicated claims/encounter data if it has the ability to restore such information back to two (2) years and provide for permanent archiving in accordance with Article 3.13.

Appears in 1 contract

Samples: Agreement to Provide Hmo Services (Centene Corp)

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Claims/Encounter History Files. The Contractor contractor shall maintain two (2) years active history of adjudicated claims and encounter data for verifying duplicates, checking service limitations, and supporting historical reporting. For drug claims, the Contractor contractor may maintain nine (9) months of active history of adjudicated claims/encounter data if it has the ability to restore such information back to two (2) years and provide for permanent archiving in accordance with Article 3.1.

Appears in 1 contract

Samples: Contract to Provide Services (Americhoice Corp)

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