ATTACHMENT J-7 CDRLs.doc
DOC document 27 KB Posted
- Solicitation number
- HT9402-12-R-0005
- Issued by
-
Defense Health Agency
About this file
TDEFIC Draft Attachment J-7 Contract Data Requirements Lists (CDRLs)
View the file
Other files
Show all 22
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SECTION J
ATTACHMENT J-7
CONTRACT DATA REQUIREMENTS LIST (CDRL)
DAILY REPORTS
D010 – Payment/Check Issue Report
WEEKLY REPORTS
W010 – Claims Aging Report by Status Location
W020 – Claims Processing Statistics Report
W030 – Incoming Weekly Status Report
W040 – Outgoing Weekly Status Report
MONTHLY REPORTS
M010 – Toll-Free Telephone Report
M020 – Beneficiary Contact Data
M030 – HIPAA Privacy Disclosure Report
M040 – TRICARE Contractor Cycle Time/Aging Report
M050 – TRICARE Contractor Monthly Workload Report
M060 – Accounts Receivable Summary Report including Supplemental Reports
M070 – Bank Account Reconciliation Report
M080 – Bank Cleared Payment Report
M090 – Bank Account Statement Report
M100 – Internal Quality Management/Quality Improvement Program Report
M110 – Present on Admission (POA) Indicators and Hospital Acquired Conditions (HACs)
M120 – Reserved
M130 – Productivity Report
M140 – Employee Access to DoD/IS Networks
M150 – Reserved
M160 – Case Management Report
QUARTERLY REPORTS
Q010 – Claims Audit Report
Q020 – Reserved
Q030 – Fraud and Abuse Summary Report
Q040 – Appeals Quality Assessment Report
Q050 – Written Correspondence Quality Assessment Report
Q060 – Telephonic Response Quality Assessment Report
Q070 – Retrospective Review Requirements for Other than DRG Validation Report
Q080 – Utilization Management Report
Q090 – Evolving Practices Report
ANNUAL REPORTS
A010 – Third Party Recoveries by FY Report
A020 – Fraud Prevention Savings Report
A030 – Annual Letter of Assurance
A040 – Contract Releasable Under FOIA
A050 – NIST Checklist
C020 – Statement on Standards for Attestation Engagements (SSAE 16)
ANNUAL PLANS
P010 – Internal Quality Management/Quality Improvement Program
P020 – Annual Continuity of Operation Plan (COOP) and Annual Disaster Recovery Test
P030 – Annual Handling Inappropriate Disclosures of Data Plan
P040 – Utilization Management Plan
P050 – Education Plan
AS REQUIRED
R010 – TMA Preliminary Incident Report
R020 – Report of Lost, Stolen, or Compromised Personally Identifiable Information
R030 – Plan of Action and Milestones (POA&M)
R040 – Reserved
R050 – Start Up Plan
R060 – Privacy Impact Assessment
R070 – Weekly History Updates
R080 – Executed Crossover Agreement with the Medicare Coordination of Benefits Contractor
(COBC)
R090 – MOU with Beneficiary Education & Services (BE&S)
R100 – MOUs with Each MCS Contractor
R110 – Appeals Processing Guidelines, Desk Instructions and Reference Materials
R120 – Reserved
R130 – State Prevailing Annual Update Report
R140 – TQMC Findings Response
R150 – Congressional and Contacts Summary Report
R160 – Accreditation Reports and Documentation
R170 – TQMC Validation Report
HT9402-12-R-0005
File details come from the government source that posted it. Updated .