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).

Active/Resolved

Active

Action / Resolution

 

Category 1

Orphaned Claims

Category 2

Data quality

Tip / Issue

Issue