Electronic Data Interchange. The MCP shall comply with all applicable provisions of HIPAA including electronic data interchange (EDI) standards for code sets and the following electronic transactions: Health care claims; Health care claim status request and response; Health care payment and remittance status; Standard code sets; and National Provider Identifier (NPI). Each EDI transaction processed by the MCP shall be implemented in conformance with the appropriate version of the transaction implementation guide, as specified by applicable federal rule or regulation. The MCP must have the capacity to accept the following transactions from ODM consistent with EDI processing specifications in the transaction implementation guides and in conformance with the 820 and 834 Transaction Companion Guides issued by ODM: ASC X12 820 - Payroll Deducted and Other Group Premium Payment for Insurance Products; and ASC X12 834 - Benefit Enrollment and Maintenance. The MCP shall comply with the HIPAA mandated EDI transaction standards and code sets no later than the required compliance dates as set forth in the federal regulations.
Appears in 8 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Electronic Data Interchange. The MCP shall comply with all applicable provisions of HIPAA including electronic data interchange (EDI) standards for code sets and the following electronic transactions: Health care claims; Health care claim status request and response; Health care payment and remittance status; and Standard code sets; and National Provider Identifier (NPI). Each EDI transaction processed by the MCP shall be implemented in conformance with the appropriate version of the transaction implementation guide, as specified by applicable federal rule or regulation. The MCP must have the capacity to accept the following transactions from ODM the Ohio Department of Job and Family services consistent with EDI processing specifications in the transaction implementation guides and in conformance with the 820 and 834 Transaction Companion Guides issued by ODMODJFS: ASC X12 820 - 820βPayroll Deducted and Other Group Premium Payment for Insurance Products; and ASC X12 834 - 834βBenefit Enrollment and Maintenance. The MCP shall comply with the HIPAA mandated EDI transaction standards and code sets no later than the required compliance dates as set forth in the federal regulations.
Appears in 2 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)
Electronic Data Interchange. The MCP shall comply with all applicable provisions of HIPAA including electronic data interchange (EDI) standards for code sets and the following electronic transactions: Health care claims; Health care claim status request and response; Health care payment and remittance status; and Standard code sets; and National Provider Identifier (NPI). Each EDI transaction processed by the MCP shall be implemented in conformance with the appropriate version of the transaction implementation guide, as specified by applicable federal rule or regulation. The MCP must have the capacity to accept the following transactions from ODM the Ohio Department of Job and Family services consistent with EDI processing specifications in the transaction implementation guides and in conformance with the 820 and 834 Transaction Companion Guides issued by ODMODJFS: ASC X12 XI 2 820 - Payroll Deducted and Other Group Premium Payment for Insurance Products; and ASC X12 XI 2 834 - Benefit Enrollment and Maintenance. The MCP shall comply with the HIPAA mandated EDI transaction standards and code sets no later than the required compliance dates as set forth in the federal regulations.
Appears in 2 contracts
Samples: Provider Agreement (Wellcare Health Plans, Inc.), Ohio Medical Assistance Provider Agreement for Managed Care Plan Abd Eligible Population (Wellcare Health Plans, Inc.)
Electronic Data Interchange. The MCP MCOP shall comply with all applicable provisions of HIPAA including electronic data interchange (EDI) standards for code sets and the following electronic transactions: Health care claims; Health care claim status request and response; Health care payment and remittance status; Standard code sets; and National Provider Identifier (NPI). Each EDI transaction processed by the MCP MCOP shall be implemented in conformance with the appropriate version of the transaction implementation guide, as specified by applicable federal rule or regulation. The MCP MCOP must have the capacity to accept the following transactions from ODM consistent with EDI processing specifications in the transaction implementation guides and in conformance with the 820 and 834 Transaction Companion Guides issued by ODM: ASC X12 820 - Payroll Deducted and Other Group Premium Payment for Insurance Products; and ASC X12 834 - Benefit Enrollment and Maintenance. The MCP MCOP shall comply with the HIPAA mandated EDI transaction standards and code sets no later than the required compliance dates as set forth in the federal regulations.
Appears in 1 contract
Samples: Provider Agreement
Electronic Data Interchange. The MCP shall comply with all applicable provisions of HIPAA including electronic data interchange (EDI) standards for code sets and the following electronic transactions: Health care claims; Health care claim status request and response; Health care payment and remittance status; and Standard code sets; and National Provider Identifier (NPI). Each EDI transaction processed by the MCP shall be implemented in conformance with the appropriate version of the transaction implementation guide, as specified by applicable federal rule or regulation. The MCP must have the capacity to accept the following transactions from ODM the Ohio Department of Job and Family services consistent with EDI processing specifications in the transaction implementation guides and in conformance with the 820 and 834 Transaction Companion Guides issued by ODMODJFS: ASC X12 XI 2 820 - Payroll Deducted and Other Group Premium Payment for Insurance Products; and ASC X12 834 - Benefit Enrollment and Maintenance. The MCP shall comply with the HIPAA mandated EDI transaction standards and code sets no later than the required compliance dates as set forth in the federal regulations.
Appears in 1 contract