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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

EXP-37R-001-1-2

Data Quality Measure
Last updated

Key Information

Measure Name % of Plan IDs over the threshold for EXP-37P-001-1-2 (% of claim lines on claims where Payment Level Indicator = 2 with Medicaid Paid Amount = $0 or missing, by Plan ID)
File Type COT
Measure ID EXP-37R-001-1-2
Measure Type Claims percentage
Content area MCR MULTI EXP
Associated Measure EXP-37P-001-1-2

Validation

Validation Type Inferential

Measure Priority

Measure Priority N/A
Focus Area N/A
Category N/A

Claim Information

Claim Type Medicaid,Enc
Adjustment Type Original
Crossover Type Non-Crossover

Thresholds

Minimum N/A
Maximum N/A
TA Minimun
TA Maximum
Longitudinal Threshold N/A
For TA
(for including in compliance training) 		No
For TA
(Longitudinal) 		No

Data Elements

DD Data Element MEDICAID-PAID-AMT • PAYMENT-LEVEL-IND
DD Data Element Number COT178 • COT068

Annotation N/A
Specification N/A