Q&A and Next Steps

Summary

Summary

Questions

For the HSC Ticket for Prerequisite Action 2 (confirm data files contain both sets of valid keys):

  • Which environment does HealthSparq want these from?
    • HealthSparq is recommending that you provide the production keys - this will allow you to test NCCT, CLNR, etc when BCBSA will only have the production keys available
  • Is HealthSparq expecting a sample PROVALTID file with PROD data or Full file?
    • The initial file provided for analysis can be a sample/subset of the PROVALTID data
    • A full file will be needed for processing - HealthSparq would prefer a full file if avaialble
    • When commenting in Planning Action 2 ticket - please indicate if the initial file is a full file v sample file
  • Do plans need to send a full provider data set or just the PROVALT_ID file?
    • A full provider data set should be sent for analysis
  • Once the analysis is complete, what can clients expect for feedback? i.e. a formal report or comments in the HSC ticket with the findings? If a report, what content should/could clients expect?
    • For the initial analysis, HealthSparq will provide each plan with confirmation that the data meets the format requirements
    • Any adverse findings will be documented and shared
    • This will documented in the Planning Action 1 ticket

For the HSC Ticket for Action 1: Confirm/Approve PDT/BPD Data Analysis Report, are the plans expected to confirm/approve the above mentioned activity?

    • Confirmation will be needed
    • If a subset of PROVALTID was provided, a full file will need to be sent

Next Steps

  • Plans - submit PROVALT_ID files for analysis
  • HealthSparq
    • Perform a data analysis on the file (format validation)
    • Provide feedback on data
  • Plans - Confirm if results are as expected in the report
  • HealthSparq
    • Update provider data intake to consume both sets of keys
    • Load PROVALTID file with both sets of valid keys into HealthSparq UAT for each plan
    • Update any carve out rules that use the keys (if applicable)