Common use of Enrollee Data Clause in Contracts

Enrollee Data. Doctor agrees to comply with all requests by CMS, the Iowa Office of the Commissioner of Insurance (“OCI”), the Minnesota Department of Health (“MDH”), or any other state agency or department that regulates Health Plan Companies, a health plan company and/or CCMI for information that CMS, OCI or MDH requires, the health plan company or CCMI intends to release to purchasers of health care coverage, enrollees and other consumers, including without limitation, CCMI-specific and Doctor-specific quality, outcomes and patient satisfaction data. Doctor consents to the release by health plan companies and CCMI of such information and agrees not to attempt to prohibit or restrict the release of such information. Doctor agrees to provide CCMI, a health plan company, OCI, MDH, and CMS all information necessary for the reporting and submission obligations to OCI, MDH or CMS, including, but not limited to: all data necessary to characterize the context and purposes of each encounter between an Enrollee and Doctor; patterns of utilization of Doctor’s services; the availability, accessibility and acceptability of Doctor’s services; changes in the health status of Enrollees; and other matters that CMS, OCI, or MDH may require. Doctor certifies that all Enrollee encounter data shall be accurate, complete and truthful.

Appears in 1 contract

Samples: Participating Provider Agreement

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Enrollee Data. Doctor agrees to comply with all requests by CMS, the Iowa Office South Dakota Division of Insurance of the Commissioner Department of Insurance Revenue and Regulation (“OCIDOI”), the Minnesota Department department of Health health (“MDH”), or any other state agency or department that regulates Health Plan Companies, Companies a health plan company and/or CCMI for information that CMS, OCI DOI, or MDH requires, the health plan company or CCMI intends to release to purchasers of health care coverage, enrollees and other consumers, including without limitation, CCMI-specific and Doctor-specific quality, outcomes and patient satisfaction data. Doctor consents to the release by health plan companies and CCMI of such information and agrees not to attempt to prohibit or restrict the release of such information. Doctor agrees to provide CCMI, a health plan company, OCIDOI, MDH, and CMS all information necessary for the reporting and submission obligations to OCIDOI, MDH or CMS, including, but not limited to: all data necessary to characterize the context and purposes of each encounter between an Enrollee and Doctor; patterns of utilization of Doctor’s services; the availability, accessibility and acceptability of Doctor’s services; changes in the health status of Enrollees; and other matters that CMS, OCICMS DOI, or MDH may require. Doctor certifies that all Enrollee encounter data shall be accurate, complete and truthful.

Appears in 1 contract

Samples: Participating Provider Agreement

Enrollee Data. Doctor agrees to comply with all requests by CMS, the Iowa Office of the Commissioner Nebraska Department of Insurance (“OCINDI”), the Minnesota Department of Health (“MDH”), or any other state agency or department that regulates Health Plan Companies, a health plan company and/or CCMI for information that CMS, OCI NDI or MDH requires, the health plan company or CCMI intends to release to purchasers of health care coverage, enrollees and other consumers, including without limitation, CCMI-specific and Doctor-specific quality, outcomes and patient satisfaction data. Doctor consents to the release by health plan companies and CCMI of such information and agrees not to attempt to prohibit or restrict the release of such information. Doctor agrees to provide CCMI, a health plan company, OCINDI, MDH, and CMS all information necessary for the reporting and submission obligations to OCINDI, MDH or CMS, including, but not limited to: all data necessary to characterize the context and purposes of each encounter between an Enrollee and Doctor; patterns of utilization of Doctor’s services; the availability, accessibility and acceptability of Doctor’s services; changes in the health status of Enrollees; and other matters that CMS, OCINDI, or MDH may require. Doctor certifies that all Enrollee encounter data shall be accurate, complete and truthful.

Appears in 1 contract

Samples: Participating Provider Agreement

Enrollee Data. Doctor agrees to comply with all requests by CMS, the Iowa North Dakota Office of the Commissioner of Insurance (“OCI”), the Minnesota Department of Health (“MDH”), or any other state agency or department that regulates Health Plan Companies, a health plan company and/or CCMI for information that CMS, OCI or MDH requires, the health plan company or CCMI intends to release to purchasers of health care coverage, enrollees and other consumers, including without limitation, CCMI-specific and Doctor-specific quality, outcomes and patient satisfaction data. Doctor consents to the release by health plan companies and CCMI of such information and agrees not to attempt to prohibit or restrict the release of such information. Doctor agrees to provide CCMI, a health plan company, OCI, MDH, and CMS all information necessary for the reporting and submission obligations to OCI, MDH or CMS, including, but not limited to: all data necessary to characterize the context and purposes of each encounter between an Enrollee and Doctor; patterns of utilization of Doctor’s services; the availability, accessibility and acceptability of Doctor’s services; changes in the health status of Enrollees; and other matters that CMS, OCI, or MDH may require. Doctor certifies that all Enrollee encounter data shall be accurate, complete and truthful.

Appears in 1 contract

Samples: Participating Provider Agreement

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Enrollee Data. Doctor agrees to comply with all requests by CMS, the Iowa Wisconsin Office of the Commissioner of Insurance (“OCI”), the Minnesota Department of Health (“MDH”), or any other state agency or department that regulates Health Plan Companies, a health plan company and/or CCMI for information that CMS, OCI or MDH requires, the health plan company or CCMI intends to release to purchasers of health care coverage, enrollees and other consumers, including without limitation, CCMI-specific and Doctor-specific quality, outcomes and patient satisfaction data. Doctor consents to the release by health plan companies and CCMI of such information and agrees not to attempt to prohibit or restrict the release of such information. Doctor agrees to provide CCMI, a health plan company, OCI, MDH, and CMS all information necessary for the reporting and submission obligations to OCI, MDH or CMS, including, but not limited to: all data necessary to characterize the context and purposes of each encounter between an Enrollee and Doctor; patterns of utilization of Doctor’s services; the availability, accessibility and acceptability of Doctor’s services; changes in the health status of Enrollees; and other matters that CMS, OCI, or MDH may require. Doctor certifies that all Enrollee encounter data shall be accurate, complete and truthful.

Appears in 1 contract

Samples: Participating Provider Agreement

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