Tip: Reconciled Arkansas Medicaid Pharmacy Claims
Number | 0091 |
|---|---|
Submitting Entity (SE) | 99MCD1 |
Add Date | Sep 10, 2021 |
Update Date |
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Update |
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Description | Arkansas Medicaid executed a member reconciliation project where it evaluated members with pharmacy claims and merged individuals with multiple member records. These claims and member record had not been previously present in the Arkansas APCD. They were submitted to the Arkansas APCD in the December 2020 submission. The distinct count of paid claims in December 2020 is significantly higher that other months. These claims ‘cancelled’ out previously submitted claims so there are no duplicate claims. The December 2020 claims have the new member ID. |
Active/Resolved | Active |
Action / Resolution | This is informational only. |
Category 1 | Medicaid |
Category 2 | Data Quality |
Tip / Issue | Tip |