Tip: Submitting Entity Merge - 67369, 67369A, 67369B

Owned by Kenley Money, created
Last updated: Apr 14 2023
1 min read

Number

0064

Submitting Entity (SE)

67369, 67369A, 67369B

Add Date

Dec 15, 2020

Update Date

Jan 27, 2021 Apr 14, 2023

Update

This tip included in the April 2023 data tip email.

Description

SE 67369 is a new submitting entity, combining two Cigna entities (SE 67369A and SE 67369B), beginning in Q2 2020. This entity includes medical, pharmacy and eligibility with medical/pharmacy coverage data from SE 67369A and all of SE 67369B data.

SE 67369A will continue to submit dental and eligibility with dental coverage data from Q2 2020 forward.

Find the SE 67369 member records related to the SE 67369A and SE 67369B member records by grouping on Study ID (created by concatenating APCD Unique ID (ME998) and member gender (ME013)).

After grouping, retrieve for claims using member ID (ME107).

The member ID (ME107, MC137, PC107) will also stay consistent so data users can utilize it to strengthen the linkage.

Active/Resolved

Active

Action / Resolution

 

Category 1

Merged SE & Overlap

Category 2

Member/Subscriber IDs

Tip / Issue

Tip