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.
Appears in 5 contracts
Samples: clpc.ucsf.edu, www.cms.gov, www.cms.gov
Enrollee Profile. The Contractor shall use technology and processes that effectively integrate data from the Contractor’s a variety of sources to profile, measure measure, and monitor Enrollee Profilesprofiles. Profiles will include demographics, eligibility data, claims datapayment information, pharmacy datacare opportunities, assessment resultscare gap alerts, authorizations and Care Coordinator assignmentsEnrollee preferences.
Appears in 5 contracts
Samples: Model Contract, Model Contract, Model Contract
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.
Appears in 3 contracts
Samples: www.illinois.gov, www.justiceinaging.org, www.illinois.gov
Enrollee Profile. The Contractor shall use technology and processes that effectively integrate data from the Contractor’s a variety of sources to profile, measure and monitor Enrollee Profiles. Profiles will include demographics, eligibility dataclaims payment information, claims datacare opportunities, pharmacy data, assessment results, authorizations care gap alerts and Care Coordinator assignmentsEnrollee preferences.
Appears in 2 contracts
Samples: www2.illinois.gov, www.illinois.gov
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 datapayment information, pharmacy datacare opportunities, assessment resultscare gap alerts, authorizations and Care Coordinator assignmentsEnrollee preferences.
Appears in 1 contract
Samples: www.cms.gov