95448B serves as the TPA for 99EBD1. Periodically, the same claims will be found in both 95448B and 99EBD1. It is important to understand that this can occur so data from one of the two submitters can be excluded depending on the analytic requirements.
Action
These claims can identified as follows:
Member Data:
When ME001 = 95448B and ME032 = ARBenefits
or
Medical claims:
When MC001 = 95448B and MC004, MC005, MC012, MC059 match MC004, MC005, MC012, MC059 when MC001 = 99EBD1.
Note, this TPA uses different masking routines for the carrier specific unique member ID (MC137) therefore it is not possible to find these duplicate claims by member.
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