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Number

0076

Submitting Entity (SE)

60984, 60052, 95885, 73288, 12282, 70580, 12151

Add Date

Update Date

Update

Issue resolution description added.

Description

Pharmacy claims for all Humana entities have data quality issues with PC043 - Prescribing Provider ID and PC050 - Prescribing Provider License #. Values in these fields should be considered inaccurate and should not be used. All other data in the claims records are correct.

This issue causes claim lines to be duplicated with the exception of these 2 fields, disrupting versioning.

Workaround: dedupe pharmacy claim lines excluding these 2 fields.

Active/Resolved

Active

Resolved

Action / Resolution

These claims will be replaced at a later date

Claims have been replaced and versioning rules developed. Data requesters no longer have to use workaround above.

Category 1

Versioning

Category 2

Data Quality

Tip / Issue

Issue