Review: Block Lists

Summary

Summary

Block List: What is it and how is it used?

  • Used to exclude a service or code set from the list of services a member can search for
  • Two options for exclusion
    • By key - exclude a specific service such as APC|2021|0020
    • By code type - example exclude all APR-DRGs from the search: APC|2021|*

Block List: Template

  • File needs to be tab delimited (.tsv or .txt)
  • File needs to include header (template will be provided)
  • Valid entries include - refer to Cost Data Domain-Regional-Clients or Cost Data Domain-Blue-Clients
    • Service Key
      • ICD-10-PCS|2021|GZ14ZZZ
    • Code Type|Version|*
      • APR-DRG|2021|*