Data Transfer and Transform Processing; Client Data Repository Clause Samples

Data Transfer and Transform Processing; Client Data Repository a. Inovalon shall work with designated Client personnel in the provision of a secure and complete transfer of Member Population data (each a “Health Plan Data Set”) between Client data to Inovalon via secure FTP portal using established transfer, compression, and encryption protocols. For ongoing RAPS File production, Inovalon shall established a transfer schedule for core data components (occurring monthly) in order to allow for the timely production of RAPS Files and reporting. i. Specification of Health Plan Data Set: Inovalon will provide Client with a comprehensive outline of data required by Inovalon for the data processing of each Member Population (which will constitute components of the Health Plan Data Set for each such Member Population) including, amongst other data, the: 1. Member demographics data; 2. Member claims and cost data; 3. Member enrollment data; 4. Member laboratory data; 5. Member pharmacy data; 6. Member durable medical equipment data; 7. Care provider data; 8. MOR detail data; and 9. MMR detail data. b. All data received from Client shall be staged in its raw formats in order to allow for full source file attribution, audit trailing, and mapping reconciliations. Client must notify Inovalon of any change to Client’s raw formats so as to facilitate accurate and efficient integration into the Client Data Repository (CDR). c. All data translations, crosswalks and mapping into the CDR shall be performed by Inovalon data analyst staff. As data is mapped into the CDR, data fields will be evaluated for consistency with expected values. All files imported into the CDR shall be tracked, tagged, and indexed, to allow for efficient processing and attribution of results to imported data files. Further, member and provider matching rates will be analyzed for encounter files and third-party claims and Inovalon shall work with designated Client personnel to resolve data consistency, data gaps, and data value validation issues and to facilitate appropriate data source matching and reconciliation. d. Inovalon and Client shall jointly review, validate, and approve the translations, crosswalks, and mapping protocols of raw data to facilitate the accurate loading and maintenance of the CDR.