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TMSIS Dataguide Medicaid.gov

Version:

4.0.20

MCR-59R-001-13

Data Quality Measure
Last updated

Key Information

Measure Name % of Plan IDs over the threshold for MCR-59P-001-13 (% of claim headers with PAYMENT-LEVEL-IND = 2 where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header, by Plan ID)
File Type CIP
Measure ID MCR-59R-001-13
Measure Type Claims Percentage
Content area MCR
Associated Measure MCR-59P-001-13

Validation

Validation Type Inferential

Measure Priority

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

Claim Information

Claim Type Medicaid,Enc or CHIP,Enc
Adjustment Type Original
Crossover Type All Indicators

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 TOT-MEDICAID-PAID-AMT • MEDICAID-PAID-AMT
DD Data Element Number CIP114 • CIP254

Annotation N/A
Specification N/A