System-wide Functions Clause Samples
System-wide Functions. The HMO’s MIS system must include key business processing functions and/or features, which must apply across all subsystems as follows:
System-wide Functions. The MCO’s MIS system must include key business processing functions and/or features, which must apply across all subsystems as follows:
System-wide Functions. The HMO’s MIS system must include key business processing functions and/or features, which must apply across all subsystems as follows:
1. Process electronic data transmission or media to add, delete or modify membership records with accurate begin and end dates;
2. Track Covered Services received by Members through the system, and accurately and fully maintain those Covered Services as HIPAA-compliant Encounter transactions;
3. Transmit or transfer Encounter Data transactions on electronic media in the HIPAA format to the contractor designated by HHSC to receive the Encounter Data;
4. Maintain a history of changes and adjustments and audit trails for current and retroactive data;
5. Maintain procedures and processes for accumulating, archiving, and restoring data in the event of a system or subsystem failure;
System-wide Functions. The MCO’s MIS system must include key business processing functions and/or features, which must apply across all subsystems as follows:
1. process electronic data transmission or media to add, delete or modify membership records with accurate begin and end dates;
2. track Covered Services received by Members through the system, and accurately and fully maintain those Covered Services as HIPAA-compliant Encounter transactions;
3. transmit or transfer Encounter Data transactions on electronic media in the HIPAA format to the contractor designated by HHSC to receive the Encounter Data;
4. maintain a history of changes and adjustments and audit trails for current and retroactive data;
5. maintain procedures and processes for accumulating, archiving, and restoring data in the event of a system or subsystem failure;