Data Matching

Local v National Networks

• Data analysis is looking at records used for

  • –  Plan specific carve out rules

  • –  Plan specific data blending rules

• Products that Kyruus Health is loading

• Plans:

  • –  Does data include provider that only in your local networks (not included in the national networks)?

  • –  Are providers in local networks being assigned a BPD key?

  • –  Do providers in local network access national cost or review data?

    Unmatched

• Includes all products in plan data regardless of BCBSA status

• Will include keys that may be used for cost and reviews

• Provider reports - all ALTID validations are being used for the data processing error reports

  5-part keys

• Current state/match