Issue: Member and Pharmacy Member IDs do not match - 16130
Number | 0063 |
|---|---|
Submitting Entity (SE) | 16130 |
Add Date | Dec 15, 2020 |
Update Date | Sep 10, 2021 |
Update | Resolution noted. |
Description | 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. Replacement data with aligned member IDs across member and pharmacy is being requested. This work is in progress. Estimated resolution February 2021. |
Active/Resolved | Resolved |
Action / Resolution | Replacement data received. Orphaned claims reduced to 0.02% |
Category 1 | Member/Subscriber IDs |
Category 2 | Data Quality |
Tip / Issue | Issue |