RULE-689
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% of claim headers with a Billing Provider Number that is not found on the provider file during the dates of service
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RULE-7932
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% of claim headers with a Billing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Prescription Fill Date
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RULE-7931
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% of claim headers with a Billing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Beginning Date of Service
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RULE-7930
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% of claim headers with a Billing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Beginning Date of Service
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RULE-7929
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% of claim headers with a Billing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Admission Date
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RULE-7924
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% of claim headers with a Billing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Prescription Fill Date
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RULE-7923
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% of claim headers with a Billing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Beginning Date of Service
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RULE-7922
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% of claim headers with a Billing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Beginning Date of Service
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RULE-7921
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% of claim headers with a Billing Provider Number that does not have a match in PRV00007 with an active provider enrollment status on Admission Date
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RULE-7359
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% of segments missing PROV-IDENTIFIER (PRV00005)
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RULE-7569
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% of Provider Attributes Main segments for individual providers (FACILITY-GROUP-INDIVIDUAL-CODE = 03) with more than one NPI (PROV-IDENTIFIER-TYPE = 2) (across all time)
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PRV-2-011-11
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% of providers that require NPI (non-atypical) that are missing NPI (PROV-IDENTIFIER-TYPE=2)
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RULE-810
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% of claim headers with a Servicing Provider Number that is not found on the provider file during the dates of service
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ALL-4-001-1
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% of billing and servicing provider numbers on claims that are not found in the provider file
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RULE-1964
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% of claim headers with a Dispensing Provider Number that is not found on the provider file on the Prescription Fill Date
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RULE-1845
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% of claim headers with a Billing Provider Number that is not found on the provider file on the Prescription Fill Date
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RULE-1663
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% of claim headers with a Servicing Provider Number that is not found on the provider file during the dates of service
|
RULE-1540
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% of claim headers with a Billing Provider Number that is not found on the provider file during the dates of service
|
RULE-1246
|
% of claim headers with a Servicing Provider Number that is not found on the provider file during the dates of service
|
RULE-1126
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% of claim headers with a Billing Provider Number that is not found on the provider file during the dates of service
|
PRV-2-010-10
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% of Submitting State Provider IDs (FACILITY-GROUP-INDIVIDUAL-CODE = 03) with more than one NPI (PROV-IDENTIFIER-TYPE = 2) (across all time)
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MIS-11-031-31
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% distinct SUBMITTING-STATE-PROV-IDs with only missing values in any active segment: PROV-IDENTIFIER (PRV00005)
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ALL-4-004-4
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% of billing and dispensing provider numbers on claims that are not found in the provider file
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ALL-4-003-3
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% of billing and servicing provider numbers on claims that are not found in the provider file
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ALL-4-002-2
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% of billing and servicing provider numbers on claims that are not found in the provider file
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