Common use of Encounter Data Accuracy Clause in Contracts

Encounter Data Accuracy. Pharmacy The PHP shall meet or exceed a ninety- eight percent (98%) approval acceptance rate for pharmacy claims. A paid claim submitted as an encounter which passes all validation edits (SNIP level 1-7 and State specific validations) and is accepted by the Department. Weekly $50,000 per week

Encounter Data Accuracy. Pharmacy The PHP shall meet or exceed a ninety- ninety-eight percent (98%) approval acceptance rate for pharmacy claims. A paid claim submitted as an encounter which passes all validation edits (SNIP level 1-7 and State specific validations) and is accepted by the Department. Weekly $50,000 per week