Number

0154

Submitting Entity (SE)

95446, 79413A, 71420 and 79413D

Add Date

Update Date

Update

Added date range. Included in February 2025 Data Tips email.

Description

A system error occurred in the submitter extraction process for United submitting entities 95446 and 79413A causing extensive claim line duplication. The error created multiple copies of a claim line and then appended sequential claim line numbers. For example, if claim 123 had two services, two records should have been produced one with claim number (MC004) = 123 and claim line number (MC005) = 1 and the second with claim number (MC004) = 123 and claim line number (MC005) = 2. Instead the rows were duplicated randomly and claim 123 had as many as 10 rows with claim lines 1 through 10.

It is recommended that medical claims where MC001 in ('95446','79413A' ) not be used when MC017 is between 2022-10-01 and 2023-06-30.

These data were resubmitted in May 2024 for This issues is RESOLVED moving forward

Active/Resolved

RESOLVED

Action / Resolution

Category 1

Versioning

Category 2

Data Quality

Tip / Issue

issue