Claims detail definition

Claims detail means a report of information generated by a computer or any other means concerning claims submitted to the Medicaid program. Also see “Payment rRecord.”
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Examples of Claims detail in a sentence

  • The analysis will be conducted at the Encounters and Claims detail (line item) data element level.

  • At Participating Group’s expense, request and direction, Caremark may provide detailed electronic files or Claims detail reports to Participating Group’s designated third-party service provider subject to such third-party’s execution of ▇▇▇▇▇▇▇▇’s form confidentiality agreement.

  • Claims detail shall be in NCPDP, D.0 file format including all transactions, and at minimum a unique pharmacy identifier, NDC-11, ingredient cost, Dispensing Fee, and member cost-share or other mutually agreed upon format.

  • Bidder agrees the State shall own their Claims detail (State Prescription Drug Data) and receive up to five (5) detailed claims files on a daily basis, or other mutually agreed upon intervals, at no additional charge.