Claims Quality Assurance: Claims Financial Accuracy

Sampled percent of dollars accurately paid for Provider Claims during the measurement period by claim type: A. Professional Claims Excluding Behavioral Health; B. Facility Claims Excluding Behavioral Health; C. Pharmacy Point Of Service (POS) Claims; D. Non-Emergent Medical Transportation (NEMT) Claims; E. Behavioral Health Professional Claims; F. Behavioral Health Facility Claims.

Note: It is measured by evaluating dollars overpaid and underpaid in relation to total paid amounts taking into account the dollar stratification of claims.

Measure Identifier: CLAIM.26

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Please see Report Details below for more information on selected subgroups, organizations, and aggregation.

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Data


Report Details

Generated on May 31 2025 at 19:07
Measures: Claims Quality Assurance: Claims Financial Accuracy
Max Time Periods: 16
Organizations: All (aggregated)

Citation: NH Department of Health and Human Services. Bureau of Program Quality. Report generated on May 31 2025 at 19:07. [http://medicaidquality.nh.gov]

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