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Encounter Data Reporting Guide - Washington State Health ...

Encounter Data Reporting Guide : Managed care Organizations (MCO) Managed care Third-Party Administrators (TPA) Retail Pharmacy (NCPDP) Health Home Lead Entities (HH) Behavioral Health Organizations (BHO) Behavioral Health Administrative Services Organizations (BH-ASO/ASO) Published June 1, 2021 About this Guide This supersedes all previously published Encounter Data Reporting Guides. Washington Apple Health means the public Health insurance programs for eligible Washington residents. Washington Apple Health is the name used in Washington State for Medicaid, the children's Health insurance program (CHIP), and State - only funded Health care programs. Washington Apple Health is administered by the Washington State Health care Authority. What has changed from the version of January 1, 2021? This data Reporting Guide is subject to updates based on changes in State or federal rules, policies, contracts, or in the processing systems.

Jun 01, 2021 · Atypical Providers – Providers who do not provide medical services (e.g., non- ... instructions for creating the 837 Health Care Claim/Encounter Transaction Sets and the NCPDP batch standard. ... Tribes and Alaska Native people. Managed Care Organization (MCO) – An organization having a certificate of authority or certification of ...

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