APCD Technical Data Profiles (Release 5.0)
Additional Resources
- Apply for APCD data
- Government Organization
- Non Government Organization - Contact CHIA regarding APCD data:
- email: apcd.data@state.ma.us
- Phone: 617-701-8100
As part of CHIA's continuing APCD quality assurance work, a series of payer-specific technical data profiles are available as a resource for APCD data users. Please note:
- These dashboards do not contain protected health information.
- The data below is from Release 5.0 and covers incurred dates of service from July 1, 2014 through June 30, 2015.
Member Eligibility & Medical / Pharmacy Claims Profiling Dashboards
These Excel spreadsheet dashboards evaluate completeness and highlight variances from expected benchmarks for key medical and pharmacy claims fields after being merged with member eligibility files. The dashboards display total and per member per month metrics for key medical and pharmacy claim financial fields for incurred dates of service from July 1, 2014 through June 30, 2015.
| Carrier | Member Eligibility & Medical Claims Dashboard | Member Eligibility & Pharmacy Claims Dashboard |
|---|---|---|
Anthem |
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Note:
Pharmacy claims not profiled |
BCBSMA |
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BMC Healthnet |
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Celticare |
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Fallon Health and Life Assurance Company (FHLAC) |
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Fallon Community Health Plan (FHCP) |
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Harvard Pilgrim Health Care (HPHC) |
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Health New England (HNE) |
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Minuteman |
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Neighborhood Health Plan |
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Tufts |
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Tufts Health Public Plans(formerly Network Health) |
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Download All Dashboards
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