Qualified entity

Qualified entity means either a single public or private entity, or a lead entity and its contractors, that meets the following requirements:
(1) Is qualified, as determined by the Secretary, to use claims data to evaluate the performance of providers and suppliers on measures of quality, efficiency, effectiveness, and resource use.
(2) Agrees to meet the requirements described in this subpart at ยงยง 401.705 through 401.721.

Source

42 CFR § 401.703


Scoping language

For purposes of this subpart:

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