Discussions

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  Billing Code Types other than CPT, HCPCS, DRG, ICD, NDC-- how are they reported?

  tdfow asked Mar 8, 2021 in Q&A · Answered

  

  

  

  

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  Excel to estimate in-network-rate file size

  Devyandu started Aug 5, 2021 in Show and tell

  

  

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  Options for Capitated PMPM Rates?

  capitation Discussion around in-network capitation arrangements

  nicholas-dahl-CTS asked Aug 2, 2021 in Q&A · Unanswered

  

  

  

  

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  Price Comparison Tool

  ericsilvertx started Aug 2, 2021 in General

  

  

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  Snowflake Data Marketplace?

  sfc-gh-phoran asked Jul 22, 2021 in Q&A · Answered

  

  

  

  

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  Identifying Items and Services for In-Network Rate File

  tdfow asked Mar 31, 2021 in Q&A · Answered

  

  

  

  

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  Adding new billing_code_type valid values for in-network file

  standards development

  iGokul-G asked Jun 9, 2021 in Q&A · Answered

  

  

  

  

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  URL Submission Process and File Locations

  documentation Improvements or additions to documentation feature request

  dhoule01 started Jun 22, 2021 in General

  

  

  

  

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  Is a negotiated rate ever based just on an ICD code

  nmayle asked Apr 23, 2021 in Q&A · Answered

  

  

  

  

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  OON File Out of Network Object

  jamessiefke started Jun 11, 2021 in General

  

  

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  Discrepancy between definitions of “Allowed Amount”

  nicholas-dahl-CTS asked Apr 27, 2021 in Q&A · Answered

  

  

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  Value for reporting_entity_type Does Not Require Allowed Values?

  BobSyracuse asked Mar 31, 2021 in Q&A · Answered

  

  

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  For "standard" group plans from a Payer, what should go into the Plan id, plan id type, and plant name in the json file?

  SatyaKomatineni asked Mar 19, 2021 in Q&A · Answered

  

  

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  Self-funded plans

  documentation Improvements or additions to documentation standards development

  monty3301 asked Jun 7, 2021 in Q&A · Unanswered

  

  

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  Description field in Allowed Amount file required or not required, ,discrepancy exists in read.me versus schema

  documentation Improvements or additions to documentation

  tdfow asked Mar 31, 2021 in Q&A · Answered

  

  

  

  

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  Billing_code_type Currently Allowed Codes in Allowed-amount File

  documentation Improvements or additions to documentation

  APWU-GRoberts asked Jun 3, 2021 in Q&A · Answered

  

  

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  historical_net_price and historical_net_reporting_period requirement

  Rx Rx schema/file

  mkoson-healthsparq asked May 25, 2021 in Q&A · Answered

  

  

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  Machine Readable Prescription Drug File Negotiated Price Question

  Rx Rx schema/file

  AlysonMizunoKubo asked May 26, 2021 in Q&A · Answered

  

  

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  Multiple DRG types

  documentation Improvements or additions to documentation

  nmayle asked Apr 18, 2021 in Q&A · Answered

  

  

  

  

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  supporting APC Codes: Ambulatory Payment Classifications

  documentation Improvements or additions to documentation

  nmayle asked Apr 21, 2021 in Q&A · Answered

  

  

  

  

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  If the negotiated rate has ended/terminated in the monthly reporting period, does it need to be reported in that month?

  tdfow asked Apr 14, 2021 in Q&A · Answered

  

  

  

  

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  RX MRF-Tax ID

  Rx Rx schema/file

  MMath19103 asked May 12, 2021 in Q&A · Answered

  

  

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  Use of ISO8601

  standards development feature request

  StoneCypher asked Apr 14, 2021 in Q&A · Answered

  

  

  

  

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  Evergreen Rates

  documentation Improvements or additions to documentation standards development

  MMath19103 asked May 12, 2021 in Q&A · Answered

  

  

  

  

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  If no expiration_date is known, would 9999-12-31 be the appropriate value to represent no defined expiration date?

  documentation Improvements or additions to documentation standards development

  tdfow asked Apr 14, 2021 in Q&A · Answered

  

  

  

  

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