Authorization Number : 50750284
Agency Series No. : 2020-00-03
Status : Active
Agency Web Link :
Agency : ODM
Confidential Description : Transactional data associated with the provisioning and management of providers as well as other provider related systems records is needed by the agency to perform its operations on a daily basis. The same holds true in the event of a disaster. System data may contain individual protected health information (PHI), confidential personal information (CPI), personally identifiable information (PII), or state sensitive information (SSI).
Division : ODMOPER
Vital Description : Transactional data processed and produced by the system includes data associated with provider management, screening, credentialing and enrollment; and is needed by the agency to perform its operations on a daily basis. The same holds true in the event of a disaster.
Section : ODMOPERNETM
Record Title : Provider Network Management - system data
Revision : 0
Record Description : The Provider Network Management (PNM) module will store and process data associated with provider management, screening, credentialing, and enrollment.