Downloaded Enrollment Reports Sample Clauses

Downloaded Enrollment Reports a. The Agency or its Agent will provide Enrollment file information to the PSN after Contract execution. The Agency or its Agent will report Enrollment information to the PSN on a monthly basis. The PSN’s final monthly Enrollment report is the PSN Enrollment Report FLMR 8805-R001. The PSN also receives a preliminary Enrollment file (PSN Pending Enrollment File 2) by the Tuesday following the Penultimate Saturday of the month prior to the beginning of the Enrollment month. Both reports are provided in accordance with the Agency’s Medicaid Fiscal Agent’s monthly schedule. b. The PSN shall review the Enrollment reports for accuracy and will notify the Agency within three (3) Business Days of any discrepancies. Failure to notify the Agency of any discrepancies within three (3) Business Days shall lead to fines and other sanctions as detailed in Section XIV, Sanctions. c. The Enrollment Reports will use HIPAA-compliant standard transactions. The Agency or its Agent will transition to a HIPAA compliant X12N 834 transaction format for all Enrollee maintenance and reporting (not just Enrollment Reporting) and the PSN must be capable of receiving and processing X12N 834 transactions. d. During the transition period from proprietary to standard formats, the PSN shall cooperatively participate with the Agency in the transition process.
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Related to Downloaded Enrollment Reports

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