Common use of Provider Subsystem Clause in Contracts

Provider Subsystem. (A) The System implemented by CONTRACTOR must include a Provider Subsystem that accepts, processes, stores and retrieves current and historical data on health care providers in CONTRACTOR's network, including, but not limited to, the following data: (i) Services offered or provided; (ii) Payment methodology; (iii) License/credentialing information; (iv) Service capacity and facility linkages; and (v) If required by HHSC, information concerning excluded providers. (B) The functions and/or features of the Provider Subsystem must achieve the following: (i) Identify network providers, specialty or specialties by: a. The appropriate regulatory board certification/eligibility; b. Admission privileges; c. Member linkage;

Appears in 2 contracts

Sources: Children's Health Insurance Program Agreement (Amerigroup Corp), Children's Health Insurance Program Agreement (Amerigroup Corp)