Claims Quality Assurance: Claims Payment Accuracy

Sampled percent of all Provider Claims that are paid or denied correctly 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.

Measure Identifier: CLAIM.25

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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 24 2025 at 18:10
Measures: Claims Quality Assurance: Claims Payment Accuracy
Max Time Periods: 16
Organizations: All (aggregated)

Citation: NH Department of Health and Human Services. Bureau of Program Quality. Report generated on May 24 2025 at 18:10. [http://medicaidquality.nh.gov]

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