Common use of Data and Systems Clause in Contracts

Data and Systems. a. Contractor will not modify any operational process during the Term of the Contract without the prior notification of the County, as well as approval by County for any County specific processes. b. Upon termination of the Contract Term, Contractor shall provide data to succeeding contractor or the County, as directed, including all necessary data and information, except direct deposit information, including but not limited to claims data and patient profiles to ensure an orderly transition, at no additional charge to County. Contractor shall provide up to two files for historical paid claims and open claims, respectively, within 30 days of the termination of the Contract and deliver all records, accounts of operation and claim files to County. c. Contractor shall accept electronic data transfer and administer membership information in compliance with HIPAA standards for privacy, security and electronic data interchange. d. Contractor shall provide on-line, unlimited eligibility updating and entry capabilities for authorized County staff. Subject to applicable laws, rules and regulations relating to privacy and confidentiality, Contractor shall provide County’s Benefits Administrator with on-line access to read County’s eligibility information. e. Contractor shall receive from County, on a twice-monthly basis, an eligibility file of eligible County Participants through a File Transfer Protocol (FTP) feed. f. Contractor shall notify County or its designee, prior to the eligibility update application, of any material errors or coding problems on the eligibility file that exceeds agreed upon thresholds. g. Contractor shall notify the County immediately, or as soon as administratively possible, upon identification of system-related problems, programming or data transfer problems. The Contractor shall make every effort necessary to correct such problems within 48 hours, regardless of the time or date, in order to minimize any disruption to Participants. h. Contractor shall maintain complete records of all claims and payments for a minimum of six years or greater as required by law. At the end of the six-year period, records shall either be transferred to the County or destroyed under the County’s direction, unless further retention is otherwise required by law. i. Contractor shall provide necessary data files to respond to government requests or respond to class action lawsuits without additional fees for the length of the contract. Such services shall be provided at standard programmer bill rates as defined by the County after the contract has termed. j. Contractor shall maintain duplicate or back-up computer data files for the Plan in a place of safekeeping. All computer data files of the Plan, as maintained by the Contractor, shall at all times remain the property of the County; notwithstanding the fact that such records may be stored upon or within one (1) or more computer or data retention systems owned, operated, or leased by the Contractor. The County or its representatives shall, at all reasonable times, have access to the records. To the extent that any such records are to be maintained upon a computer system or any other data retention system which is not owned by the Contractor, the Contractor will provide the County with assurances from the owner of such computer facilities, satisfactory to the County, of the continued availability and security of such records at all times. k. Contractor shall provide the County access to all back-up source materials, reports, books, records, computer programs, and all other information and documentation relating to the Plan, as reasonably required so that the County and/or its designated officers, agents, and accountants, can conduct a financial examination and/or audit of the Plan as requested by the Program Manager. "Access", for the purposes of this paragraph, is defined to include the Contractor's copying records and delivering them to the Program Manager or other electronic delivery agreed to by the Program Manager.

Data and Systems. a. Contractor will not modify any operational process during the Term term of the this Contract without the prior notification and approval of the County, as well as approval by County for agrees to discuss any material changes in operational processes that may have a material impact on the administration of the Plan with the County specific processesin advance of making such changes. b. Upon termination of the Contract Termterm, Contractor shall provide data to succeeding contractor Contractor or the County, as directed, including all necessary data and information, except direct deposit information, information including but not limited to claims data and patient profiles to ensure an orderly transition, at no additional charge to Countycharge. Contractor shall provide up to two files for historical paid claims and open claims, respectively, within 30 days of the termination of the Contract and deliver all records, accounts of operation and claim files to County. c. Contractor shall accept electronic data transfer and administer membership information in compliance with HIPAA standards for privacy, security and electronic data interchange. d. Contractor shall provide on-line, unlimited eligibility updating and entry capabilities for authorized the County staff. Subject to applicable laws, rules and regulations relating to privacy and confidentiality, Contractor shall provide County’s Benefits Administrator with on-line access to read County’s eligibility information. e. Contractor shall receive from County, on a twice-monthly basis, an eligibility file of eligible County Participants through a File Transfer Protocol (from County by FTP) feed. f. Contractor shall notify County or its designee, designee prior to the eligibility update application, of any material errors or coding problems on the eligibility file that exceeds agreed upon thresholds. g. Contractor shall notify the County immediately, immediately within a reasonable period or as soon as administratively possible, finished upon identification of system-related problems, programming problems or data transfer problems. The Contractor shall make every effort necessary to correct such problems within 48 hours, hours regardless of the time or date, date in order to minimize any disruption to Participants. h. Contractor shall maintain complete records of all claims and payments for a minimum of six years or greater as required by law. At the end of the six-year period, records shall either be transferred to the County or destroyed under the County’s direction, unless further retention is otherwise required by law. i. Contractor shall provide necessary data files to respond to government requests or respond to class action lawsuits without additional fees for the length of the contract. Such services shall be provided at standard programmer bill rates as defined by the County after the contract has termed. j. Contractor shall maintain duplicate or back-up computer data files for the Plan in a place of safekeeping. All computer data files of the Plan, as maintained by the Contractor, shall at all times remain the property of the County; notwithstanding the fact that such records may be stored upon or within one (1) or more computer or data retention systems owned, operated, or leased by the Contractor. The County or its representatives shall, at all reasonable times, have access to the records. To the extent that any such records are to be maintained upon a computer system or any other data retention system which is not owned by the Contractor, the Contractor will provide the County with assurances from the owner of such computer facilities, satisfactory to the County, of the continued availability and security of such records at all times. k. Contractor shall provide the County access to all back-up source materials, reports, books, records, computer programs, and all other information and documentation relating to the Plan, as reasonably required so that the County and/or its designated officers, agents, and accountants, can conduct a financial examination and/or audit of the Plan as requested by the Program Project Manager. "Access", for the purposes of this paragraph, is defined to explicitly include the Contractor's copying records and delivering them to the Program Manager or other electronic delivery agreed to by the Program Project Manager.

Data and Systems. a. Contractor will not modify agrees to discuss with the County any material changes in operational process during processes that may have a material impact on the Term administration of the Contract without the prior notification Plan in advance of the County, as well as approval by County for any County specific processesthese changes. b. Upon termination of the Contract Termterm, Contractor Contractor, or its third party Claims Administration subcontractor, shall provide data to succeeding contractor Contractor or the County, as directed, including all necessary data and information, except direct deposit information, information including but not limited to claims data and patient profiles to ensure an orderly transition, at no additional charge to Countycharge. Contractor shall provide up to two files for historical paid claims and open claims, respectively, within 30 days of the termination of the Contract and deliver all records, accounts of operation and claim files to County. c. Contractor shall accept electronic data transfer and administer membership information in compliance with HIPAA standards for privacy, security and electronic data interchange. d. Contractor shall provide on-line, unlimited eligibility updating and entry capabilities for authorized the County staff. Subject to applicable laws, rules and regulations relating to privacy and confidentiality, Contractor shall provide County’s Benefits Administrator with on-line access to read County’s eligibility information. e. Contractor shall receive from County, on a twice-monthly basis, an eligibility file of eligible County Participants through a File Transfer Protocol (from County by FTP) feed. f. Contractor shall notify County or its designee, designee prior to the eligibility update application, of any material errors or coding problems on the eligibility file that exceeds agreed upon thresholds. g. Contractor shall notify the County immediately, within a reasonable period or as soon as administratively possiblefeasible, upon identification of system-related problems, programming problems or data transfer problems. The Contractor shall make every effort necessary to correct such problems within 48 hours, hours regardless of the time or date, date in order to minimize any disruption to Participants. h. Contractor or its agents, including its third party Claims Administration services subcontractor, shall maintain complete records of all claims and payments for a minimum of six years or greater as required by law. At the end of the six-year period, records shall either be transferred to the County or destroyed under the County’s direction, unless further retention is otherwise required by lawexcept to the extent necessary for Contractor, or its third party Claims Administration services subcontractor, to satisfy any applicable regulatory requirements. i. Contractor shall provide necessary data files to respond to government requests or respond to class action lawsuits without additional fees for the length of the contract. Such services shall be provided at standard programmer bill xxxx rates as defined by the County after the contract has termed. j. Contractor shall maintain duplicate or back-up computer data files for the Plan in a place of safekeeping. All computer data files of the Plan, as maintained by the Contractor, shall at all times remain the property of the County; notwithstanding the fact that such records may be stored upon or within one (1) or more computer or data retention systems owned, operated, or leased by the Contractor. The County or its representatives shall, at all reasonable times, have access to the records. To the extent that any such records are to be maintained upon a computer system or any other data retention system which is not owned by the Contractor, the Contractor will provide the County with assurances from the owner of such computer facilities, satisfactory to the County, of the continued availability and security of such records at all times. k. Contractor shall provide the County access to all back-up source materials, reports, books, records, computer programs, and all other information and documentation relating to the Plan, as reasonably required so that the County and/or its designated officers, agents, and accountants, can conduct a financial examination and/or audit of the Plan as requested by the Program Project Manager. "Access", for the purposes of this paragraph, is defined to explicitly include the Contractor's provision of materials by electronic means or copying records and delivering them to the Program Manager or other electronic delivery agreed to by the Program Project Manager.

Data and Systems. a. Contractor will not modify any operational process during the Term of the Contract without the prior notification of the County, as well as approval by County for any County specific processes. b. Upon termination of the Contract Term, Contractor shall provide data to succeeding contractor or the County, as directed, including all necessary data and information, except direct deposit information, including but not limited to claims data and patient profiles to ensure an orderly transition, at no additional charge to County. Contractor shall provide up to two files for historical paid claims and open claims, respectively, within 30 days of the termination of the Contract and deliver all records, accounts of operation and claim files to County. c. Contractor shall accept electronic data transfer and administer membership information in compliance with HIPAA standards for privacy, security and electronic data interchange. d. Contractor shall provide on-line, unlimited eligibility updating and entry capabilities for authorized County staff. Subject to applicable laws, rules and regulations relating to privacy and confidentiality, Contractor shall provide County’s Benefits Administrator with on-line access to read County’s eligibility information. e. Contractor shall receive from County, on a twice-monthly basis, an eligibility file of eligible County Participants through a File Transfer Protocol (FTP) feed. f. Contractor shall notify County or its designee, prior to the eligibility update application, of any material errors or coding problems on the eligibility file that exceeds agreed upon thresholds. g. Contractor shall notify the County immediately, or as soon as administratively possible, upon identification of system-related problems, programming or data transfer problems. The Contractor shall make every effort necessary to correct such problems within 48 hours, regardless of the time or date, in order to minimize any disruption to Participants. h. Contractor shall maintain complete records of all claims and payments for a minimum of six years or greater as required by law. At the end of the six-year period, records shall either be transferred to the County or destroyed under the County’s direction, unless further retention is otherwise required by law. i. Contractor shall provide necessary data files to respond to government requests or respond to class action lawsuits without additional fees for the length of the contract. Such services shall be provided at standard programmer bill xxxx rates as defined by the County after the contract has termed. j. Contractor shall maintain duplicate or back-up computer data files for the Plan in a place of safekeeping. All computer data files of the Plan, as maintained by the Contractor, shall at all times remain the property of the County; notwithstanding the fact that such records may be stored upon or within one (1) or more computer or data retention systems owned, operated, or leased by the Contractor. The County or its representatives shall, at all reasonable times, have access to the records. To the extent that any such records are to be maintained upon a computer system or any other data retention system which is not owned by the Contractor, the Contractor will provide the County with assurances from the owner of such computer facilities, satisfactory to the County, of the continued availability and security of such records at all times. k. Contractor shall provide the County access to all back-up source materials, reports, books, records, computer programs, and all other information and documentation relating to the Plan, as reasonably required so that the County and/or its designated officers, agents, and accountants, can conduct a financial examination and/or audit of the Plan as requested by the Program Manager. "Access", for the purposes of this paragraph, is defined to include the Contractor's copying records and delivering them to the Program Manager or other electronic delivery agreed to by the Program Manager.