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Member Duplication

Member Duplication

Owned by Trang Riley (Unlicensed)
Jun 14 2017

Problem

What might cause a member to have more than one enrollment record per month?

Solution

A member will have more than one enrollment record when they are enrolled in more than one product, have secondary coverage, have a break in enrollment, or have multiple active primary care provider (PCP) assignments within a reporting period. Accurate enrollment data are needed to calculate member months by product and by provider.



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