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Page Properties

Number

0024

Submitting Entity (SE)

60054A

Add Date

Update Date

Update

Sent in April Data Tips email.

Description

There are 22% distinct Dental claims in 60054A data that are orphaned (the dental claim carrier specific unique member ID (DC056) does not exist in eligibility/member data (ME107) for this submitting entity).

Active/Resolved

This issue cannot be resolvedResolved

Action / Resolution

For orphaned claims in 60054A dental claim data, join to eligibility/member data using
DC057 + DC009 = ME117 + ME010 Data has been resubmitted and orphan claims are now only 1.25%

Category 1

Orphaned Claims

Category 2

Data quality

Tip / Issue

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