{"#title":"Claims Quality Assurance: Claims Payment Accuracy","#attached":{"library":["mqis\/reports"],"drupalSettings":{"mqis":{"measures":{"117558":{"xcomps":[],"ycomps":[],"complegend":[],"compdata":{"Contract Requirement":[{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"Medicaid Contract section 4.19.4.2","year":"2025","year_type":"SFY","measure_name":"Claims Quality Assurance: Claims Payment Accuracy"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Claims Quality Assurance: Claims Payment Accuracy"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Claims Quality Assurance: Claims Payment Accuracy"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2022","year_type":"SFY","measure_name":"Claims Quality Assurance: Claims Payment Accuracy"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2021","year_type":"SFY","measure_name":"Claims Quality Assurance - Claims Payment Accuracy"},{"name":"Contract Requirement","data_source":"Contract","data_source_order":"1","notes":"","year":"2020","year_type":"SFY","measure_name":"Claims Quality Assurance: Claims Payment Accuracy"}]},"ymax":115,"comp_table":"\n \n \n \n \n \n \n \n
Claims Quality Assurance: Claims Payment Accuracy - Comparators (Export<\/a>)<\/span><\/caption>\n \n \n
Original Order\n \n Sort descending\n <\/span>\n<\/span>\n<\/a><\/th>\n Measure ID<\/a><\/th>\n Measure Name<\/a><\/th>\n Comparator Name<\/a><\/th>\n Comparator Type<\/a><\/th>\n Year<\/a><\/th>\n Value<\/a><\/th>\n <\/tr>\n <\/thead>\n \n
0<\/td>\n CLAIM.25<\/td>\n Claims Quality Assurance: Claims Payment Accuracy<\/td>\n Contract Requirement SFY 2025<\/td>\n Contract Requirement<\/td>\n 2025<\/td>\n 97.0<\/td>\n <\/tr>\n
1<\/td>\n CLAIM.25<\/td>\n Claims Quality Assurance: Claims Payment Accuracy<\/td>\n Contract Requirement SFY 2022<\/td>\n Contract Requirement<\/td>\n 2022<\/td>\n 97.0<\/td>\n <\/tr>\n
2<\/td>\n CLAIM.25<\/td>\n Claims Quality Assurance - Claims Payment Accuracy<\/td>\n Contract Requirement SFY 2021<\/td>\n Contract Requirement<\/td>\n 2021<\/td>\n 97.0<\/td>\n <\/tr>\n
3<\/td>\n CLAIM.25<\/td>\n Claims Quality Assurance: Claims Payment Accuracy<\/td>\n Contract Requirement SFY 2020<\/td>\n Contract Requirement<\/td>\n 2020<\/td>\n 97.0<\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n","xseries":{"2021-03":"Qtr1 2021","2021-06":"Qtr2 2021","2021-09":"Qtr3 2021","2021-12":"Qtr4 2021","2022-03":"Qtr1 2022","2022-06":"Qtr2 2022","2022-09":"Qtr3 2022","2022-12":"Qtr4 2022","2023-03":"Qtr1 2023","2023-06":"Qtr2 2023","2023-09":"Qtr3 2023","2023-12":"Qtr4 2023","2024-03":"Qtr1 2024","2024-06":"Qtr2 2024","2024-09":"Qtr3 2024","2024-12":"Qtr4 2024"},"yseries":{"Claims Quality Assurance: Claims Payment Accuracy":{"2021-03":"98.8","2021-06":"98.6","2021-09":"99.1","2021-12":"99.2","2022-03":"98.8","2022-06":"99.7","2022-09":"99.6","2022-12":"99.6","2023-03":"99.6","2023-06":"99.4","2023-09":"99.3","2023-12":"99.7","2024-03":"99.3","2024-06":"99.4","2024-09":"99.7","2024-12":"99.3"}},"trendlegend":{"Claims Quality Assurance: Claims Payment Accuracy":"Total (All Subgroups)"},"numerators":{"Claims Quality Assurance: Claims Payment Accuracy":[228249,291753,284154,280996,271429,283401,278753,278764,283624,276683,244234,244186,247158,249333,236393,242294]},"denominators":{"Claims Quality Assurance: Claims Payment Accuracy":[228280,291795,284184,281030,271472,283414,278768,278779,283637,276710,244261,244197,247198,249360,236407,242314]},"timeperiods":{"t_2021-01-01_2021-03-31":{"start":"1609477200","end":"1617163200"},"t_2021-04-01_2021-06-30":{"start":"1617249600","end":"1625025600"},"t_2021-07-01_2021-09-30":{"start":"1625112000","end":"1632974400"},"t_2021-10-01_2021-12-31":{"start":"1633060800","end":"1640926800"},"t_2022-01-01_2022-03-31":{"start":"1641013200","end":"1648699200"},"t_2022-04-01_2022-06-30":{"start":"1648785600","end":"1656561600"},"t_2022-07-01_2022-09-30":{"start":"1656648000","end":"1664510400"},"t_2022-10-01_2022-12-31":{"start":"1664596800","end":"1672462800"},"t_2023-01-01_2023-03-31":{"start":"1672549200","end":"1680235200"},"t_2023-04-01_2023-06-30":{"start":"1680321600","end":"1688097600"},"t_2023-07-01_2023-09-30":{"start":"1688184000","end":"1696046400"},"t_2023-10-01_2023-12-31":{"start":"1696132800","end":"1703998800"},"t_2024-01-01_2024-03-31":{"start":"1704085200","end":"1711857600"},"t_2024-04-01_2024-06-30":{"start":"1711944000","end":"1719720000"},"t_2024-07-01_2024-09-30":{"start":"1719806400","end":"1727668800"},"t_2024-10-01_2024-12-31":{"start":"1727755200","end":"1735621200"}},"data_elements":[{"data_element_id":"253775","identifier":"CLAIM.25-E_NUM","measure_id":"117563","type":"1","tech_definition":"

Count of sampled Behavioral Health <\/strong>Professional <\/strong>claims from the denominator that are paid or denied correctly during the measurement period.<\/p>\r\n\r\n