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Massachusetts All-Payer Claims Database: Technical Assistance Group (TAG) December 10, 2013

Massachusetts All-Payer Claims Database: Technical Assistance Group (TAG) December 10, 2013. AGENDA. Highlight of the Month: VERSION 3 EDIT And VARIANCE PROCESS. EDIT UPDATE REVIEW. VERSIONING EDITS CATEGORY B/C EDITS WARNING EDITS Preliminary V3 Edits Now Available on CHIA Website.

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Massachusetts All-Payer Claims Database: Technical Assistance Group (TAG) December 10, 2013

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  1. Massachusetts All-Payer Claims Database:Technical Assistance Group (TAG) December 10, 2013

  2. AGENDA Highlight of the Month: VERSION 3 EDIT And VARIANCE PROCESS

  3. EDIT UPDATE REVIEW • VERSIONING EDITS • CATEGORY B/C EDITS • WARNING EDITS • Preliminary V3 Edits Now Available on CHIA Website

  4. MINOR ISSUES • PC065 - Coordination of Benefits/TPL Liability Amount • PV031 – Provider Organization ID • PV End Dates • Edit Narrative Mis-Match

  5. FIELD EDIT REPORT Percent Passed Calculation ME116 is required when ME118 = 1 PR007 is required when PR006 = 0

  6. VERSION 3.0 VARIANCES • PROCESS • LIAISON/MANAGER REVIEW • VERSION 2 AS BASE NOT STANDARD • CONDITIONAL ELEMENT VARIANCES

  7. CONDITIONAL ELEMENT VARIANCES

  8. CONDITIONAL ELEMENT VARIANCES

  9. CONDITIONAL ELEMENT VARIANCESFIELD EDIT REPORT EXAMPLE Version 2 and Version 3 of ME111 (Medical Deductible) had a 90% requirement when ME018 (Medical Coverage) = 1 (Yes). VERSION 2 FER: VERSION 3 FER:

  10. WRAP-UP QUESTIONS?

  11. TAG SCHEDULE • January 14 at 2:00 PM • February 11at 2:00 PM

  12. QUESTIONS • Questions emailed to APCD Liaisons • Questions emailed to CHIA (CHIA-APCD@state.ma.us).  • Questions on the Data Release and Application emailed to CHIA (apcd.data@state.ma.us)

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