Tip: Submitting Entity Merge - 60054A, 99CAR1 (PBM)

Number

0066

Submitting Entity (SE)

60054A, 99CAR1

Add Date

Feb 19, 2021

Update Date

May 17, 2022

Update

Included in May 2022 Data Tip email

Description

Out of ~14k distinct member IDs in Aetna (60054A) orphaned pharmacy claims (have no corresponding member record), ~5k were found in Aetna’s PBM, Caremark (99CAR1). To join Aetna’s pharmacy data to Caremark members, use ME117 = PC108 and ME010 = PC009.

Active/Resolved

Active

Action / Resolution

 

Category 1

Merged SE & Overlap

Category 2

PBM

Tip / Issue

Tip