Common use of Encounter Data Clause in Contracts

Encounter Data. Provider agrees to cooperate with Subcontractor and/or Health Plan to comply with Subcontractor and/or Health Plan’s obligation to prepare timely encounter data submissions, reports, and clinical information including, without limitation, child and adolescent health check-up reporting, EPSDT encounters, and cancer screening encounters, as applicable, and such other reporting regarding Covered Services as may be required under the State Contract. Encounter data must be accurate and include all services furnished to a Covered Person, including capitated provider’s data and rendering provider information. Encounter data must be provided within the timeframes specified and in a form that meets Subcontractor, Health Plan and State requirements. By submitting encounter data to Subcontractor and/or Health Plan, Provider represents to Subcontractor and/or Health Plan that the data is accurate, complete and truthful, and upon Subcontractor’s and/or Health Plan’s request Provider shall certify in writing, that the data is accurate, complete, and truthful, based on Provider’s best knowledge, information and belief.

Appears in 5 contracts

Samples: Downstream Provider Medicaid Program Regulatory Requirements Appendix, Downstream Provider Medicaid Program Regulatory Requirements Appendix, Provider Agreement

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Encounter Data. Provider agrees to cooperate with Subcontractor and/or Health Plan to comply with Subcontractor and/or Health Plan’s obligation to prepare timely encounter data submissions, reports, and clinical information including, without limitation, child and adolescent health check-up reporting, EPSDT encounters, and cancer screening encounters, as applicable, and such other reporting regarding Covered Services as may be required under the State Contract. Encounter data must be accurate and include all services furnished to a Covered Person, including capitated provider’s data and rendering provider information. Encounter data must be provided within the timeframes specified and in a form that meets Subcontractor, Subcontractor and/or Health Plan and State requirements. By submitting encounter data to Subcontractor and/or Health Plan, Provider represents to Subcontractor and/or Health Plan that the data is accurate, complete and truthfultruthful and, and upon Subcontractor’s Subcontractor and/or Health Plan’s request request, Provider shall certify in writing, that the data is accurate, complete, and truthful, based on Provider’s best knowledge, information and belief.

Appears in 4 contracts

Samples: Provider Agreement, Provider Agreement, Provider Agreement

Encounter Data. Provider agrees to cooperate with Subcontractor and/or Health Plan to comply with Subcontractor and/or Health Plan’s obligation to prepare timely encounter data submissions, reports, and clinical information including, without limitation, child and adolescent health check-check- up reporting, EPSDT encounters, and cancer screening encounters, as applicable, and such other reporting regarding Covered Services as may be required under the State Contract. Encounter data must be accurate and include all services furnished to a Covered PersonMedicaid Managed Care Member, including capitated provider’s data and rendering provider information. Encounter data must be provided within the timeframes specified and in a form that meets Subcontractor, Health Plan and State requirements. By submitting encounter data to Subcontractor and/or Health Plan, Provider represents to Subcontractor and/or Health Plan that the data is accurate, complete and truthful, and upon Subcontractor’s and/or Health Plan’s request Provider shall certify in writing, that the data is accurate, complete, and truthful, based on Provider’s best knowledge, information and belief.

Appears in 2 contracts

Samples: Provider Agreement, Provider Agreement

Encounter Data. Provider agrees to cooperate with Subcontractor and/or Health Plan to comply with Subcontractor Subcontractor’s and/or Health Plan’s obligation to prepare timely encounter data submissions, reports, and clinical information including, without limitation, child and adolescent health check-up reporting, EPSDT encounters, and cancer screening encounters, as applicable, and such other reporting regarding Covered Services as may be required under the State Contract. Encounter data must be accurate and include all services furnished to a Covered Person, including capitated provider’s data and rendering provider information. Encounter data must be provided within the timeframes specified and in a form that meets Subcontractor, Health Plan and State requirements. By submitting encounter data to Subcontractor and/or Health Plan, Provider represents to Subcontractor and/or Health Plan that the data is accurate, complete and truthful, and upon Subcontractor’s and/or Health Plan’s request Provider shall certify in writing, that the data is accurate, complete, and truthful, based on Provider’s best knowledge, information and belief.

Appears in 1 contract

Samples: Provider Agreement

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Encounter Data. Provider agrees to cooperate with Subcontractor and/or Health Plan to comply with Subcontractor and/or Health Plan’s obligation to prepare timely encounter data submissions, reports, and clinical information including, without limitation, child and adolescent health check-up reporting, EPSDT encounters, and cancer screening encounters, as applicable, and such other reporting regarding Covered Services as may be required under the State PBM Contract. Encounter data must be accurate and include all services furnished to a Covered Person, including capitated provider’s data and rendering provider information. Encounter data must be provided within the timeframes specified and in a form that meets Subcontractor, Subcontractor and/or Health Plan and State requirements. By submitting encounter data to Subcontractor and/or Health Plan, Provider represents to Subcontractor and/or Health Plan that the data is accurate, complete and truthfultruthful and, and upon Subcontractor’s Subcontractor and/or Health Plan’s request request, Provider shall certify in writing, that the data is accurate, complete, and truthful, based on Provider’s best knowledge, information and belief.

Appears in 1 contract

Samples: Provider Agreement

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