SUBMISSION OF TEST ENCOUNTER DATA Sample Clauses

SUBMISSION OF TEST ENCOUNTER DATA. A. Submitter ID. The Contractor shall make application in order to obtain a Submitter Identification Number, according to the instructions listed in the HMO Systems Guide.

SUBMISSION OF TEST ENCOUNTER DATA. III-18 3.9.3 SUBMISSION OF PRODUCTION ENCOUNTER DATA..................III-19 3.9.4 REMITTANCE ADVICE........................................III-20 3.9.5 SUBCONTRACTS AND ENCOUNTER DATA REPORTING FUNCTION.......III-21 3.9.6 FUTURE ELECTRONIC ENCOUNTER SUBMISSION REQUIREMENTS......III-21 ARTICLE FOUR: PROVISION OF HEALTH CARE SERVICES 4.1 COVERED SERVICES...................................................IV-1 4.1.1 GENERAL PROVISIONS AND CONTRACTOR RESPONSIBILITIES.........IV-1 4.1.2 BENEFIT PACKAGE............................................IV-3 4.1.3 SERVICES REMAINING IN FEE-FOR-SERVICE PROGRAM AND MAY NECESSITATE CONTRACTOR ASSISTANCE TO THE ENROLLEE TO ACCESS THE SERVICES........................................IV-6 4.1.4 MEDICAID COVERED SERVICES NOT PROVIDED BY CONTRACTOR.......IV-8 4.1.5 INSTITUTIONAL FEE-FOR-SERVICE BENEFITS -- NO COORDINATION BY THE CONTRACTOR..........................IV-9 4.1.6 BENEFIT PACKAGE FOR NJ FAMILYCARE PLAN D...................IV-9 4.1.7 SUPPLEMENTAL BENEFITS.....................................IV-13 4.1.8 CONTRACTOR AND DMAHS SERVICE EXCLUSIONS...................IV-13 4.2 SPECIAL PROGRAM REQUIREMENTS......................................IV-15 4.2.1 EMERGENCY SERVICES........................................IV-15 4.2.2 FAMILY PLANNING SERVICES AND SUPPLIES.....................IV-19 4.2.3 OBSTETRICAL SERVICES REQUIREMENTS/ISSUES..................IV-20 4.2.4 PRESCRIBED DRUGS AND PHARMACY SERVICES....................IV-20 4.2.5 LABORATORY SERVICES.......................................IV-23 4.2.6 EPSDT SCREENING SERVICES..................................IV-23 4.2.7 IMMUNIZATIONS.............................................IV-32 4.2.8 CLINICAL TRIALS...........................................IV-32 4.2.9 HEALTH PROMOTION AND EDUCATION PROGRAMS...................IV-34 4.3 COORDINATION WITH ESSENTIAL COMMUNITY PROVIDERS...................IV-35 4.3.1 GENERAL...................................................IV-35 4.3.2 HEAD START PROGRAMS.......................................IV-35 4.3.3 SCHOOL-BASED YOUTH SERVICES PROGRAMS......................IV-36 4.3.4 LOCAL HEALTH DEPARTMENTS..................................IV-38 4.3.5 WIC PROGRAM REQUIREMENTS/ISSUES...........................IV-38 4.3.6 COMMUNITY LINKAGES........................................IV-38 4.4 COORDINATION WITH MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES .....IV-39 4.5 ENROLLEES WITH SPECIAL NEEDS......................................IV-41 4.5.1 INTRODUCTION...........