Tip: New Use Recommendations for Source of Coverage Fields (ME018, ME019, ME020)





Number

0009

Submitting Entity (SE)

ALL

Add Date

Mar 1, 2019

Update Date

 May 2, 2023 Nov 15, 2023

Update

Updated with new use methodology. Included in November 2023 Data Tips email

Description

 New data use methodologies and use recommendations have been developed for these fields. Refer to the attached presentation for this information.

Active/Resolved

Active

Action / Resolution

This issue is applicable to all data requests.  The Arkansas APCD team is working with these entities to resolve these issues. The recommended workaround is use them in conjunction with the calculated coverage indicator flags ME018A, ME019A and ME020A (see

Tip: Calculated Services Indicator Flags (ME018A, ME019A, ME020A)

for more details). If users do not have access for these additional fields, join the member data to the medical, pharmacy, and/or dental claims data on carrier specific unique member ID to determine the presence of those claim types.

 

Category 1

DSG

Category 2

Data Quality

Tip / Issue

Tip