Issue: MedImpact Member/Pharmacy Linkage Issue





Number

0051

Submitting Entity (SE)

99MDI1

Add Date

Jul 30, 2020 

Update Date

Sep 10, 2021

Update

Resolved issue

Description

MedImpact 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.

MedImpact is a new submitter therefore this issue is applicable to data requests pulled after July 2020.

Active/Resolved

Resolved

Action / Resolution

Data replaced to address issue. Data requesters having received data between July 2020 and September 2021 should still consider this issue.

Category 1

Member/Subscriber IDs

Category 2

Member to Claim Linkage

Tip / Issue

Issue