Centene (70998C, 95448C) has acquired several plans from QC (70998A, 95448A). Because these plan management is now with Centene, the claims will now be sourced from a new system, triggering the need to use the Alias fields.
Active/Resolved
Active
Action / Resolution
The member ID in Pharmacy data cannot be used to link members between older QC plans and the new Centene managed plans. Data users can follow these workaround options:
Use the member ID in 70998C/95448C PHM to get the member ID 70998C/95448C ELG and use the Hash Study ID (ME998+ME013) to link across submitters.
Use the member ID in 70998C/95448C PHM to get the member ID in 70998C/95448C ELG and use the Alias fields in ELG (ME107A/ME117A) to find the member ID in QC (70998A/95448A)