Encounter Data Submission Requirements. i. The MCOP shall collect data on services furnished to members through a claims system and shall report encounter data electronically to ODM as specified in Appendix L. ii. The MCOP shall have the capability to report all elements in the Minimum Data Set as set forth in the ODM Encounter Data Specifications and shall submit a test file in the ODM-specified medium in the required formats prior to contracting or prior to an information systems replacement or update. Acceptance testing of encounter data is required as specified in Section 43 of this appendix. iii. A certification letter shall accompany the submission of an encounter data file in the ODM-specified medium. The certification letter shall be signed by the MCOP’s Chief Executive Officer (CEO), Chief Financial Officer (CFO), or an individual who has delegated authority to sign for, and who reports directly to, the MCOP’s CEO or CFO.
Appears in 18 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Encounter Data Submission Requirements. i. The Each MCOP shall must collect data on services furnished to members through a claims system and shall must report encounter data electronically to ODM as specified in Appendix L.
ii. The MCOP shall must have the capability to report all elements in the Minimum Data Set as set forth in the ODM Encounter Data Specifications and shall must submit a test file in the ODM-specified medium in the required formats prior to contracting or prior to an information systems replacement or update. Acceptance testing of encounter data is required as specified in Section 43 of this appendixAppendix.
iii. A certification letter shall must accompany the submission of an encounter data file in the ODM-specified medium. The certification letter shall must be signed by the MCOP’s Chief Executive Officer (CEO), Chief Financial Officer (CFO), or an individual who has delegated authority to sign for, and who reports directly to, the MCOP’s CEO or CFO.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Encounter Data Submission Requirements. i. The MCOP shall collect data on services furnished to members through a claims system and shall report encounter data electronically to ODM as specified in Appendix L.
ii. The MCOP shall have the capability to report all elements in the Minimum Data Set as set forth in the ODM Encounter Data Specifications and shall submit a test file in the ODM-specified ODM‐specified medium in the required formats prior to contracting or prior to an information systems replacement or update. Acceptance testing of encounter data is required as specified in Section 43 of this appendixAppendix.
iii. A certification letter shall accompany the submission of an encounter data file in the ODM-specified ODM‐specified medium. The certification letter shall be signed by the MCOP’s Chief Executive Officer (CEO), Chief Financial Officer (CFO), or an individual who has delegated authority to sign for, and who reports directly to, the MCOP’s CEO or CFO.
Appears in 1 contract
Samples: Provider Agreement
Encounter Data Submission Requirements. i. The Each MCOP shall must collect data on services furnished to members through a claims system and shall must report encounter data electronically to ODM as specified in Appendix L.
ii. The MCOP shall must have the capability to report all elements in the Minimum Data Set as set forth in the ODM Encounter Data Specifications and shall must submit a test file in the ODM-specified ODM‐specified medium in the required formats prior to contracting or prior to an information systems replacement or update. Acceptance testing of encounter data is required as specified in Section 43 of this appendixAppendix.
iii. A certification letter shall must accompany the submission of an encounter data file in the ODM-specified ODM‐specified medium. The certification letter shall must be signed by the MCOP’s Chief Executive Officer (CEO), Chief Financial Officer (CFO), or an individual who has delegated authority to sign for, and who reports directly to, the MCOP’s CEO or CFO.
Appears in 1 contract
Samples: Provider Agreement