Exclude Age 22 and CLAIMS_WEEKLY_{DAILY8}.ZIP older with FFS Weekly DOS Every claims extracts 12/01/2015 Weekly Weekend MOLINA Exclude Age 22 and Encounter older with Weekly claims DOS Every extracts 12/01/2015 Weekly Weekend MOLINA Exclude Pharmacy Age 22 and Weekly older with ZIP FFS/ENC claims DOS Every extracts 12/01/2015 Weekly Weekend MOLINA MCO Weekly Provider MCNA PROVIDER REGISTRY Registry edit Every reports Weekly Friday Night MOLINA Weekly full Every Provider extracts Weekly Weekend MOLINA Exclude periods of eligibility the month after a recipient Weekly full turns 22 Recipient years of Every extracts age. Weekly Weekend MOLINA Weekly summarization of the errors incurred for Each encounters Tuesday by processing Weekly COB MOLINA Weekly summarization of the edit codes for Each encounters Tuesday by processing Weekly COB MOLINA MCNA Weekly list of all encounters and their error codes, including denied error codes, for Each encounter Tuesday by processing Weekly COB MOLINA MCNA Weekly edit report of TPL records Every submitted by Thursday MCOs Weekly Night MOLINA MCNA
CLAIMS_WEEKLY_{DAILY8}.ZIP FFS Weekly claims extracts Exclude Age 22 and older with DOS 12/01/2015 Weekly Every Weekend MOLINA Encounter Weekly claims extracts Exclude Age 22 and older with DOS 12/01/2015 Weekly Every Weekend MOLINA Pharmacy Weekly FFS/ENC claims extracts Exclude Age 22 and older with DOS 12/01/2015 Weekly Every Weekend MOLINA PROVIDER REGISTRY Weekly Provider Registry edit reports Weekly Every Friday Night MOLINA MCO MCNA Weekly full Provider extracts Weekly Every Weekend MOLINA Weekly full Recipient extracts Exclude periods of eligibility the month after a recipient turns 22 years of age. Weekly Every Weekend MOLINA Weekly summarization of the errors incurred for encounters processing Weekly Each Tuesday by COB MOLINA Weekly summarization of the edit codes for encounters processing Weekly Each Tuesday by COB MOLINA MCNA Weekly list of all encounters and their error codes, including denied error codes, for encounter processing Weekly Each Tuesday by COB MOLINA MCNA Weekly edit report of TPL records submitted by MCOs Weekly Every Thursday Night MOLINA MCNA ZIP
PIHP_CSoC_SystemsCompanionGuide-Sept2018_V12.docx