Common use of Eligibility/Enrollment Interface Clause in Contracts

Eligibility/Enrollment Interface. The enrollment interface must provide eligibility data between TDH and HMOs. (1) Provides benefit package data to HMOs in accordance with capitated services. (2) Provides PCP assignments. (3) Provides Member eligibility status data. (4) Provides Member demographics data. (5) Provides HMOs with cross-reference data to identify duplicate Members.

Eligibility/Enrollment Interface. The enrollment interface must provide eligibility data between TDH and HMOs. (1) Provides benefit package data to HMOs in accordance with capitated services. (2) Provides PCP assignments. (3) Provides Member eligibility status data. (4) Provides Member demographics data. (5) Provides HMOs with cross-reference data to identify duplicate Members.. 1999 Renewal Contract Tarrant Service Area 110 August 9, 1999 111

Eligibility/Enrollment Interface. The enrollment interface must provide eligibility data between TDH TDHS or its designee and HMOsHMO. (1) Provides benefit package data to HMOs HMO in accordance with capitated services.. TDHS/HMO CONTRACT August 11, 1999 85 92 (2) Provides PCP assignments. (3) Provides Member eligibility status data. (4) Provides Member demographics data. (5) Provides HMOs HMO with cross-cross reference data to identify duplicate Members.