plan for reducing the error rate, if necessary, and the results of prior period's corrective action plan. The sample is to be pulled by a scientific random methodology, approved by the CHFS. Provide the necessary software and staff to data enter paper 292. CRB38 claims that cannot be scanned or imaged. Accept claims data from selected providers, through data telecommunication devices, direct computer exchange, tape 293. CRB39 billings, clearinghouse facilities, and external storage, as approved by the CHFS. Accept electronic media claims into the MEMS, using the 294. CRB40 appropriate HIPAA-compliant format. Include the Call Center in the Disaster Recovery Plan (DRP), 295. CRB41 which is to be approved by CHFS, or its designee, to maintain normal business functions. Maintain a central image repository with desktop access to the CHFS and MEMS Vendor staff that should conform to all 296. CRB42 CHFS and HIPAA security provisions related to electronic documents. 297. CRB43 Maintain all current and future EDI standards. Complete EDI testing within three days of receipt of a claim 298. CRB44 test from providers. Generate and mail member inquiries, as appropriate, when claim documents show TPL monies or TPL attachments 299. received and there is no record of TPL coverage in the TPL Module Files. Also, furnish the CHFS with a copy of claim documents for update to TPL Files.
plan for reducing the error rate, if necessary, and the results of prior period's corrective action plan. The sample is to be pulled by a scientific random methodology, approved by the CHFS. 292. CRB38 Provide the necessary software and staff to data enter paper claims that cannot be scanned or imaged. 293. CRB39 Accept claims data from selected providers, through data telecommunication devices, direct computer exchange, tape billings, clearinghouse facilities, and external storage, as approved by the CHFS. 294. CRB40 Accept electronic media claims into the MEMS, using the appropriate HIPAA-compliant format. 295. CRB41 Include the Call Center in the Disaster Recovery Plan (DRP), which is to be approved by CHFS, or its designee, to maintain normal business functions. 296. CRB42 Maintain a central image repository with desktop access to the CHFS and MEMS Vendor staff that should conform to all CHFS and HIPAA security provisions related to electronic documents. 297. CRB43 Maintain all current and future EDI standards. 298. CRB44 Complete EDI testing within three days of receipt of a claim test from providers. 299. Generate and mail member inquiries, as appropriate, when claim documents show TPL monies or TPL attachments received and there is no record of TPL coverage in the TPL Module Files. Also, furnish the CHFS with a copy of claim documents for update to TPL Files.