Specifications include, but are not limited to: Data Collection Payer registration and credentialing Intake Insurer and other payer data files Intake Medicaid and Medicare Claims files- leverage the existing Department of Health (DOH) Medicaid Fast Health Interoperable Resource (FHIR) Application Programming Interface (API) to access the claims data Establish a secure data submittal portal; provide training and technical assistance to submitters Establish and maintain a submitter variance process Maintain a compliance process for data at intake, including timely notification of acceptance or rejection for submitters; provide data quality checks to submitters Collect test, historical and periodic files, checking for initial compliance and allowing for resubmission Track and report on all activity Data Processing Collect and Integrate data from all sources
