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Massachusetts All-Payer Claims Database: Technical Assistance Group (TAG)

Massachusetts All-Payer Claims Database: Technical Assistance Group (TAG). July 8, 2014. Agenda. ACA Membership Reporting NAIC Code (PR017) Connector/Risk Adjustment QA Profile Reports Compliance Retaining Copies of Data Questions. NAIC Code (PR017).

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Massachusetts All-Payer Claims Database: Technical Assistance Group (TAG)

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  1. Massachusetts All-Payer Claims Database:Technical Assistance Group (TAG) July 8, 2014

  2. Agenda ACA Membership Reporting NAIC Code (PR017) Connector/Risk Adjustment QA Profile Reports Compliance Retaining Copies of Data Questions

  3. NAIC Code (PR017) National Association of Insurance Commissioners’ Code NOT the North American Industry Classification System (NAICS) Will be used by Division of Insurance and the Connector

  4. Connector/Risk Adjustment Next Simulation:

  5. V2 to V3 Profiles

  6. Additional QA Profile Reports CHIA is planning to share new profile reports with carriers next month for review before publishing on CHIA’s website. These profiles are based on 2012 incurred data and will be sent to the top submitters based on medical claims volume.

  7. Version 3 Compliance We are looking to have all carriers in full compliance by July with production data through June 2014.

  8. Retaining Copies of Data Carriers should maintain copies of the data sent to CHIA

  9. Upcoming Events End July/Early August – APCD Membership comparison to aggregate monthly reporting to CHIA August – Profile Reports – will preview on August TAG call and then send to carriers August/September – Connector Risk Assessment Simulation

  10. QUESTIONS?

  11. Next Meetings August 12, 2014 at 2:00pm September 9, 2014 at 2:00pm

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