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Member Measure Compliance Report

Report Name
Member Measure Compliance Report 


About This Report

This report provides insight into compliance at the chase/sample level for a member. A member may have multiple chases per measures as well, so they may have multiple lines. For instance, a member may have three CDC chases. Each chase will have its own line for chase compliance, and then there will be one line for the sample compliance for the member. This member would have four lines on the report (three chase lines and one sample line).


Project Type

HEDIS, IVA, Risk


Service Type

Full Service, Platform, Retrieval Only, Clinical Only


Intended User

Admin / Manager / Technical User


Best For

Determining compliance hits at the Chase and Sample level.


Using This Report

  • Download and aggregate into pivot tables
  • Drill down into compliance at a chase/measure level
  • Drill down and identify trends or patterns


What Information Can I Filter?

Project


What Do The Fields Mean?

FieldData Dictionary Definition
Client IDThe internal identifier associated with a client
Client NameName of the Client
Project IDThe internal identifier associated with a project
Project NameThe name associated with a project
Record TypeThis is a hard coded value: Chase/Member
Member IDThe client identifier associated with a member
Sample SourceAlias IDThe client identifier associated with a member
Sample Chase Count A dimension that provides a count of chases- this is not a measure, so it ia not a dynamic calculation
Chase IDThe internal identifier associated with a chase
Current Process StepThe current workflow state of a given chase
Current Chase StatusThe status of a chase, based upon its workflow status and pend and invoice status
Address GroupingDataloaded grouper to associate various address IDs into client desired groups
ProductDataloaded grouper to associate various address IDs into client desired groups
Measure IDInternal identifier associated with a measure code
Measure CodeDetermines the type of an associated chase, which indicates what the coder is seeking to validate
SourceAlias IDThe dataload (client) identifier associated with a given data item; the client member id
Client MemberKeyThe client identifier associated with a member
Client MemberIDThe client identifier associated with a member
Enrollee IDClient or government supplied identifier for a member (outside of the memberID field)
Member First NameFirst name of the member
Member Last NameLast name of the member
Member DOBThe date of birth of the member
GenderThe gender of a member
Compliance CodeDetermines if a given chase/measure code is compliant for HEDIS
Compliance DescriptionProvides a full description of the meaning of a compliance code

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