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;
Appears in 6 contracts
Samples: Contract Amendment (Centene Corp), Contract Amendment (Centene Corp), Contract Amendment (Centene Corp)