Claims Quality Assurance: Claims Financial Accuracy
Please wait...
x
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
View:
Totals
By Submitter
Trend type:
Line
Bar
Hide confidence intervals
Hide labels
Hide graphs
Hide tables
Print | PDF
Print | PDF
Please see Report Details below for more information on selected subgroups, organizations, and aggregation.