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| Measure Name | % of record segments that do not have a managed care record |
|---|---|
| File Type | Multiple Files |
| Measure ID | RULE-2382 |
| Measure Type | Non-Claims Percentage |
| Content area | MCR |
| Validation Type | Inferential |
|---|
| Measure Priority | Critical |
|---|---|
| Focus Area | Managed care |
| Category | File integrity |
| Claim Type | N/A |
|---|---|
| Adjustment Type | N/A |
| Crossover Type | N/A |
| Minimum | 0 |
|---|---|
| Maximum | 0.05 |
| TA Minimun | 0 |
| TA Maximum | 0.05 |
| Longitudinal Threshold | N/A |
|
For TA
(for including in compliance training) |
TA- Inferential |
|
For TA
(Longitudinal) |
No |
| DD Data Element | MANAGED-CARE-PLAN-TYPE • STATE-PLAN-ID-NUM • MANAGED-CARE-PLAN-TYPE • MANAGED-CARE-PLAN-ID |
|---|---|
| DD Data Element Number | MCR024 • MCR019 • ELG193 • ELG192 |
| Annotation | N/A |
|---|---|
| Specification | RULE-2382 |