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Issue: Arkansas Total Care Member/Pharmacy Linkage Issue

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Number

0057

Submitting Entity (SE)

16256

Add Date

 

Update Date

Update

This issue will be resolved in February 2021.

Description

Arkansas Total Care Member data/pharmacy claims linkage issue.  The member data carrier specific unique member id (ME107) and pharmacy claims carrier specific unique member id (PC107) cannot be used to link member data to pharmacy claims at this time.  The carrier specific unique member ID provided by the system producing the member data does not align with the carrier specific unique member ID on the system producing the pharmacy claim records.  Work around:  It is possible to use the pharmacy claims for cost and utilization analyses or other analyses that do not require enrollment information.

Arkansas Total Care is a new submitter therefore this issue is applicable to data requests pulled after July 2020.

Active/Resolved

Active

Action / Resolution

Replacement data with aligned member IDs is being requested.  Estimated resolution: February 2021

Category 1

Member/Subscriber IDs

Category 2

Member to Claim Linkage

Tip / Issue

Issue



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