Claims and Data Submission
(1)In addition to submitting standard claims information, enrolling providers are required to submit client data in order to receive payment for the claim. The data is used to collect information pertaining to breast and cervical cancer prevention, diagnosis, and treatment and is used by the National Breast and Cervical Cancer Early Detection Program and the ScreenWise BCC primarily to monitor the delivery of services and clinical outcomes of the program.
(2)Although data requirements may require more information than necessary for payment of a specific claim, all related fields must be completed and submitted.
(3)Data requirements for enrolling providers and ancillary providers are as follows:
(a)Enrolling providers must provide required information on client data forms, as defined by the program and posted on the Program website: www.healthoregon.org/screenwise.
(b)Ancillary providers must provide results of services to enrolling providers. Ancillary providers are not required to provide data to the ScreenWise BCC directly.
(4)If a provider terminates the medical services agreement all data must be submitted through the completion of each client’s cycle.
Rule 333-010-0145 — Claims and Data Submission,