Issue: Orphaned Pharmacy Claims - 60054A

Number	0173
Submitting Entity (SE)	60054A
Add Date	Dec 9, 2024
Update Date	Dec 12, 2024
Update	Included in December 2024 data tips email.
Description	There are 26% distinct Pharmacy claims in 60054A data that are orphaned (the pharmacy claim carrier specific unique member ID (PC107) does not exist in eligibility/member data (ME107) for this submitting entity). This occurs in data prior to 2019.
Active/Resolved	Active
Action / Resolution
Category 1	Orphaned Claims
Category 2	Data quality
Tip / Issue	Issue

Support: APCD Data Requests