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;
Appears in 5 contracts
Samples: Contract Amendment (Centene Corp), Contract (Centene Corp), Contract (Centene Corp)