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HEDIS Compliance Table Definitions

AcronymDefinition

E/MR

Member is excluded based on medical record data

C/SM 

Numerator is compliant based on supplemental data/flag

E/Admin 

Member is excluded based on admin data/flag

E/SM

Member is excluded based on supplemental data/flag

NC/C

Member has contraindication based on medical record data

P/C 

Chase is partial compliant (not all numerators are compliant and at least one numerator is compliant from medical record data)


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