Tip: Orphaned Dental Claims - 60054A

Number

0024

Submitting Entity (SE)

60054A

Add Date

Aug 18, 2020

Update Date

Apr 12, 2022 May 24, 2023

Update

 

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

Resolved

Action / Resolution

Data has been resubmitted and orphan claims are now only 1.25%

Category 1

Orphaned Claims

Category 2

Data quality

Tip / Issue

Tip