Common use of Claims Data Clause in Contracts

Claims Data. (a) The submission of all Encounter Data for services rendered to Contractor’s Members during the contract period; (b) Certification that Contractor attests that the submitted encounter claims are complete, truthful and accurate to the best knowledge and belief of Contractor’s authorized representative, subject to False Claims Act liability; (c) Adjustments to encounter claims in the event Contractor receives payment from a Member’s Third Party Liability or Third Party recovery; and (d) Adjustments to encounter claims in the event Contractor recovers any Provider Overpayment from a Provider.