Issue: Member/Claim Linkage for 62286A





Number

0018

Submitting Entity (SE)

62286A

Add Date

Mar 1, 2019

Update Date

 Feb 19, 2021

Update

Submitting entity has corrected data as of February 2021.

Description

Several issues exist with member and subscriber dates of birth and carrier specific unique member IDs on all file types —Member, Medical Claims, and Pharmacy Claims for this SE. These data cannot be used to associate members with claims data. Also, these issues render the APCD Unique ID (ME998) unusable. The Arkansas APCD team is working with the submitter to resolve this issue. 

 To date, no issue has been found with the claims level utilization or cost data for this SE, however if plan data, member and/or subscriber demographics are required for analyses, it is recommended that this SE be omitted from analyses until further notice.

Active/Resolved

Resolved

Action / Resolution

Applicable for data requests fulfilled before January, 2020.  Submitting entity has corrected data as of February 2021.

Category 1

Member/Subscriber IDs

Category 2

APCD Unique ID/Study ID

Tip / Issue

Issue