Valid Encounter Data definition
Examples of Valid Encounter Data in a sentence
Encounter Data Requiring Correction that are not corrected to be Valid Encounter Data within 63 days of OHA notification are subject to Corrective Action.
The APW methodology requires the submission of Valid Encounter Data, including pharmacy claims data that is submitted to OHA and certified in accordance with OAR 410-141-3430 and that is also submitted to the All Payer All Claims database by OHA or by Contractor.
Contractor shall provide all Valid Encounter Data electronically in accordance with 45 CFR Part 162, OAR 410-141-3430(1), OAR 943-120-0100 through 943-120-0200 using HIPAA Transactions and Codes Sets or the National Council for Prescription Drug Programs Standards and Accredited Standardized Committee X12N 837 and ASC X12N 835, formats as appropriate in accordance with OAR and OHA requirements.
Contractor may submit documentation to OHA citing specific circumstances that will result in a delay to Contractor’s timely submittal of Valid Encounter Data.
In order to submit its Valid Encounter Data Contractor must first become a trading partner and conduct data transactions in accordance with OHA Electronic Data Transmission Rules as set forth in OAR 943-120-0100 through 943-120-0200.
The APP methodology requires the submission of Valid Encounter Data, including pharmacy claims data that is submitted to OHA and certified in accordance with OAR 410-141-3430 and that is also submitted to the All Payer All Claims database by OHA or by Contractor.
Encounter Data Requiring Correction that are not corrected to be Valid Encounter Data within sixty-three (63) days of OHA notification are subject to Corrective Action.