Provider Data Submission definition

Provider Data Submission. The data which the Provider is required to submit under this Agreement in respect of the Required Data Collections and in accordance with the Coverage for the relevant HESA Subscriber Category(s). For the avoidance of doubt, this includes all and any versions of the data submitted by the Provider to HESA.
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Examples of Provider Data Submission in a sentence

  • Submit provider data according to the data file layout in Appendix I Covered California Provider Data Submission Guide.

  • The data files shall comply with the specifications and submission guide outlined in the document entitled, “Insure Kids Now (IKN) Provider Data Submission Technical Information” modified by the STATE and posted on the DHS managed care website.

  • Full and regular submission of provider data according to the standards outlined in the Performance Standard contract specific to contract Section 4.4.4. Submissions occur every month pursuant to the submission schedule (Extranet, Plan Home, Resources, Provider Directory Resources, Covered California Provider Data Submission Schedule_Current Year).

  • Quality assurance includes but is not limited to checks on the accuracy of individual data items within the Provider Data Submission compared to data submitted against the same or similar data fields within Provider Information collected from other sources as referred to in clause 5.1.1.

  • The Provider shall respond promptly to all correspondence and communications from HESA or the Primary Regulator/Funder in respect of their Provider Data Submission.

  • Use and onward supply of the Provider Data Submission or any other Provider Information by HESA may be dependent on a number of factors including (but not limited to) the quality and completeness of the Provider Information, the Provider’s compliance with clauses 2.8 and 2.9, the requirements of third parties, and HESA's ability to secure appropriate terms and conditions for the onward supply of the data to any third party.

  • On receipt of the Provider Data Submission, HESA shall become an independent Controller of the Personal Data in the Provider Data Submission.

  • These separate terms and conditions are without prejudice to any additional use of the Provider Data Submission by the Primary Regulator/Funder following provision of data by HESA to the Primary Regulator/Funder as provided for in clause 5.8.

  • Use and onward supply of the Provider Data Submission or any other Provider Information by HESA may be dependent on a number of factors including (but not limited to) the quality and completeness of the data provided, the Provider’s compliance with clauses 2.8 and 2.9, the requirements of third parties, including Third Party Publication Criteria, and HESA's ability to secure appropriate terms and conditions for the onward supply of the data to any third party.

  • Supply of the Provider Data Submission outside these timescales shall be regarded as late.

Related to Provider Data Submission

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Cardholder Data has the meaning defined by the PCI Security Standards Council, Payment Card Industry (PCI) Data Security Standard (DSS) and Payment Application Data Security Standard (PA-DSS), Glossary of Terms, Abbreviations, and Acronyms, Version 3.0, January 2014, currently available online at: xxxxx://xxx.xxxxxxxxxxxxxxxxxxxx.xxx/documents/PCI_DSS_Glossary_v3.pdf.

  • Service Provider Materials means all works of authorship, products and materials [including, but not limited to, data, diagrams, charts, reports, specifications, studies, inventions, software, software development tools, methodologies, ideas, methods, processes, concepts and techniques] owned by, or licensed to, the Service Provider prior to the Commencement Date or independently developed by the Service Provider outside the scope of this Agreement at no expense to Transnet, and used by the Service Provider in the performance of the Services;

  • Regulatory Information Service means a regulatory information service as defined in the Takeover Rules.

  • data user means a natural or legal person who has lawful access to certain personal or non-personal data and is authorised to use that data for commercial or non-commercial purposes;

  • Electronic Subcontracting Reporting System (eSRS) means the Governmentwide, electronic, web-based system for small business subcontracting program reporting. The eSRS is located at http://www.esrs.gov.

  • Information processing system means an electronic system for creating, generating, sending, receiving, storing, displaying, or processing information.

  • End User Data means any information or data of any kind that personally identifies (or that can be used, together with other information or data, to personally identify) an End User.

  • Provider panel means those providers with which a carrier contracts to provide health care services

  • Provider Manual means a working document, including but not limited to BCBSM published bulletins and provider notices, that provide specific guidelines and direction by which providers may meet their contractual responsibility as described in this Agreement. Provider Manuals are published on web-DENIS.

  • Product Information has the meaning specified in Section 10.12(a).

  • User Information means User Compliance Information and User Financial Information.

  • Provider agreement means the signed, written, contractual agreement between the department and the provider of services or goods.

  • Benchmarking Information means information generated by Portfolio Manager, as herein defined including descriptive information about the physical building and its operational characteristics.

  • Data Source Annual Fiscal Audit Report, Terms of Debt, Other Formal Notifications Received by School. Exceeds Standard The school has met standard for at least 3 consecutive years. Approaches Standard The school experienced one or more instances of minor default during the fiscal year (such as making late payments); however, the school is not currently in default of any financial obligations. Does Not Meet Standard School is currently in default of financial obligations.

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Customer Account Information means personally identifiable information including Personal Data and Consumption Data. Customer Account Information also includes information received by the Company from the customer for purposes of participating in regulated utility programs, including, but not limited to bill pay assistance, shutoff protection, renewable energy, demand-side management, load management, or energy efficiency.

  • Detailed manufacturing or process data means technical data that describe the steps, sequences, and conditions of manufacturing, processing or assembly used by the manufacturer to produce an item or component or to perform a process.

  • Encounter Data Any Contractor accessing payments for services through the Global Commitment to Health Waiver and Vermont Medicaid programs must provide encounter data to the Agency of Human Services and/or its departments and ensure that it can be linked to enrollee eligibility files maintained by the State.

  • Account Information Service Provider means a payment service provider pursuing business activities as referred to in point (8) of Annex I;

  • Customer Data means any content, materials, data and information that Authorized Users enter into the production system of a Cloud Service or that Customer derives from its use of and stores in the Cloud Service (e.g. Customer-specific reports). Customer Data and its derivatives will not include SAP’s Confidential Information.

  • Contractor Materials means Materials owned or developed prior to the provision of the Work, or developed by Contractor independently from the provision of the Work and without use of the JBE Materials or Confidential Information.

  • Privacy Statement means any and all of the Company's privacy policies published on its web site or otherwise provided to users of the Company's products and services or the Company's data subjects regarding the collection, use and distribution of personal information from visitors to its web site, consumers of its products and services and/or the Company's data subjects, as applicable;

  • Medicaid Provider Agreement means an agreement entered into between a state agency or other such entity administering the Medicaid program and a health care provider or supplier under which the health care provider or supplier agrees to provide services for Medicaid patients in accordance with the terms of the agreement and Medicaid Regulations.

  • User Data means any Personal Data or other data or information collected by or on behalf of the Company or any of its Subsidiaries from users of any Company Product or website of the Company or any of its Subsidiaries.

  • account information service means an online service to provide consolidated information on one or more payment accounts held by the payment service user with either another payment service provider or with more than one payment service provider;