EXP-17-011-4
|
Average paid per record for TYPE-OF-SERVICE = 33 (Prescribed drugs)
|
EXP-19-004-13
|
Total paid for TYPE-OF-SERVICE = 34 (Over-the-counter medications.)
|
EXP-19-003-12
|
Total paid for TYPE-OF-SERVICE = 33 (Prescribed drugs)
|
EXP-19-002-11
|
Total paid for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
|
EXP-19-001-9
|
Total paid for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
|
EXP-17-016-2
|
Average paid per record for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
|
EXP-17-015-8
|
Average paid per record for TYPE-OF-SERVICE = 89 (Disposable medical supplies)
|
EXP-17-014-7
|
Average paid per record for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies)
|
EXP-17-013-6
|
Average paid per record for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
|
EXP-17-012-5
|
Average paid per record for TYPE-OF-SERVICE = 34 (Over-the-counter medications.)
|
EXP-19-005-14
|
Total paid for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
|
EXP-17-010-3
|
Average paid per record for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
|
EXP-17-009-1
|
Average paid per record for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
|
EXP-17-008-10
|
Total paid for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
|
EXP-17-007-16
|
Total paid for TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
|
EXP-17-006-15
|
Total paid for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
|
EXP-17-005-14
|
Total paid for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
|
EXP-17-004-13
|
Total paid for TYPE-OF-SERVICE = 34 (Over-the-counter medications.)
|
EXP-17-003-12
|
Total paid for TYPE-OF-SERVICE = 33 (Prescribed drugs)
|
EXP-17-002-11
|
Total paid for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
|
EXP-19-014-7
|
Average paid per record for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies)
|
RULE-7793
|
% 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
|
MCR-59R-004-16
|
% of Plan IDs over the threshold for MCR-59P-004-16 (% 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)
|
EXP-41R-001-1
|
% of Plan IDs over the threshold for EXP-41P-001-1 (% of claim headers with Total Medicaid Paid Amount = $0 or missing, by Plan ID)
|
MCR-59P-004-16
|
% 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
|
EXP-41P-001-1
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing, by Plan ID
|
MCR-59-004-4
|
% of claim headers where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
|
FFS-49-004-4
|
% of claim headers where the sum of Medicaid Paid Amount from the lines does not equal Total Medicaid Paid Amount from the header
|
EXP-19-016-2
|
Average paid per record for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
|
EXP-19-015-8
|
Average paid per record for TYPE-OF-SERVICE = 89 (Disposable medical supplies)
|
EXP-17-001-9
|
Total paid for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
|
EXP-19-013-6
|
Average paid per record for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
|
EXP-19-012-5
|
Average paid per record for TYPE-OF-SERVICE = 34 (Over-the-counter medications.)
|
EXP-19-011-4
|
Average paid per record for TYPE-OF-SERVICE = 33 (Prescribed drugs)
|
EXP-19-010-3
|
Average paid per record for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
|
EXP-19-009-1
|
Average paid per record for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
|
EXP-19-008-10
|
Total paid for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
|
EXP-19-007-16
|
Total paid for TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
|
EXP-19-006-15
|
Total paid for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
|
EXP-44-004-4
|
% of service tracking claim headers with a non-zero Total Medicaid Paid Amount
|
MIS-27-028-28
|
% missing: TOT-MEDICAID-PAID-AMT (CRX00002)
|
MIS-8-028-28
|
% missing: TOT-MEDICAID-PAID-AMT (CRX00002)
|
MCR-59-008-8
|
% of claim headers that have Total Medicaid Paid Amount greater than a non-zero Total Allowed Amount
|
MCR-59-004-16
|
% 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
|
FFS-49-008-8
|
% of claim headers that have Total Medicaid Paid Amount greater than a non-zero Total Allowed Amount
|
FFS-49-004-16
|
% 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
|
FFS-46-001-1
|
% of crossover claim headers where Total Medicare Deductible Amount and Total Medicare Coinsurance Amount do not sum to Total Medicaid Paid Amount
|
EXP-S-008-8
|
Sum of Total Medicaid Paid Amount
|
EXP-S-004-7
|
Sum of Total Medicaid Paid Amount
|
MIS-85-028-28
|
% missing: TOT-MEDICAID-PAID-AMT (CRX00002)
|
EXP-42-001-1
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-41-001-1
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-18-005-3
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-18-003-4
|
Average Total Medicaid Paid Amount (excludes outliers with Total Medicaid Paid Amount > $300,000)
|
EXP-18-002-1
|
% of claim headers with Total Medicaid Paid Amount > $300,000
|
EXP-18-001-5
|
Sum of Total Medicaid Paid Amount
|
EXP-16-021-3
|
% of claim headers with Total Medicaid Paid Amount = $0 or missing
|
EXP-16-011-4
|
Average Total Medicaid Paid Amount (excludes outliers with Total Medicaid Paid Amount > $300,000)
|
EXP-16-010-1
|
% of claim headers with Total Medicaid Paid Amount > $300,000
|
EXP-16-008-21
|
Total paid for TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
|
EXP-16-019-6
|
Average paid per record for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
|
EXP-16-018-12
|
Average paid per record for TYPE-OF-SERVICE = 89 (Disposable medical supplies)
|
EXP-16-017-11
|
Average paid per record for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies)
|
EXP-16-016-10
|
Average paid per record for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
|
EXP-16-015-9
|
Average paid per record for TYPE-OF-SERVICE = 34 (Over-the-counter medications.)
|
EXP-16-014-8
|
Average paid per record for TYPE-OF-SERVICE = 33 (Prescribed drugs)
|
EXP-16-013-7
|
Average paid per record for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
|
EXP-16-012-5
|
Average paid per record for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
|
EXP-16-009-15
|
Total paid for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
|
EXP-16-001-13
|
Sum of Total Medicaid Paid Amount
|
EXP-16-007-20
|
Total paid for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
|
EXP-16-006-19
|
Total paid for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
|
EXP-16-005-18
|
Total paid for TYPE-OF-SERVICE = 34 (Over-the-counter medications.)
|
EXP-16-004-17
|
Total paid for TYPE-OF-SERVICE = 33 (Prescribed drugs)
|
EXP-16-003-16
|
Total paid for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
|
EXP-16-002-14
|
Total paid for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
|
RULE-7568
|
% of denied claim headers where Total Medicaid Paid Amount is non-missing and non-zero
|
RULE-7438
|
% of service tracking claim headers with a non-zero Total Medicaid Paid Amount
|