Issue: Arkansas Total Care Member/Pharmacy Linkage Issue
- Kenley Money
- Kathleen Hart (Unlicensed)
Number | 0057 |
|---|---|
Submitting Entity (SE) | 16256 |
Add Date | Jul 30, 2020 |
Update Date | Dec 15, 2020 Sep 10, 2021 |
Update | Issue resolution updated. |
Description | Arkansas Total Care Member data/pharmacy claims linkage issue. The member data carrier specific unique member id (ME107) and pharmacy claims carrier specific unique member id (PC107) cannot be used to link member data to pharmacy claims at this time. The carrier specific unique member ID provided by the system producing the member data does not align with the carrier specific unique member ID on the system producing the pharmacy claim records. Work around: It is possible to use the pharmacy claims for cost and utilization analyses or other analyses that do not require enrollment information. Arkansas Total Care is a new submitter therefore this issue is applicable to data requests pulled after July 2020. |
Active/Resolved | Resolved |
Action / Resolution | Replacement data received and versioning rules applied. Data requesters no longer have to use the workaround. |
Category 1 | Member/Subscriber IDs |
Category 2 | Member to Claim Linkage |
Tip / Issue | Issue |