Enrollee Profile Sample Clauses

Enrollee Profile. The Contractor shall use technology and processes that effectively integrate data from the Contractor’s sources to profile, measure and monitor Enrollee Profiles. Profiles will include demographics, eligibility data, claims data, pharmacy data, assessment results, authorizations and Care Coordinator assignments.
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Related to Enrollee Profile

  • Claims Review Population A description of the Population subject to the Claims Review.

  • Criteria for Performance Assessment A. A teacher’s performance shall be assessed based on the standards for the teaching profession and the criteria set forth in the evaluation instrument, Appendix E to this agreement.

  • Claims Review Methodology a. C laims Review Population. A description of the Population subject to the Quarterly Claims Review.‌

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