Tip: PBM/Pharmacy Carrier Overlap
Number | 0027 |
---|---|
Submitting Entities | 80799 |
Add Date | Jul 11, 2019 |
Update Date | Aug 17, 2022 |
Update |
|
Description | Pharmacy claims received from both the submitting entity and its PBM. This gives the researcher the opportunity to examine the same prescription claims from both sources, providing some insight into the differences between the PBM and pharmacy information. |
Action / Resolution | These claim line pairs can be identified by joining pharmacy claims with submitting entity ID 99CAR1 and 80799 by claim number (PC004) and prescription fill date (PC032). |
Category 1 | Merged SE & Overlap |
Category 2 | PBM |
Tip / Issue | Tip |