[SO/URSA-QUALITY] Patient-Output NCQA Payer Code Timelines for HEDIS Reporting, Precursor 1 (NCQA Output Payer Types)

  • Published on Apr 10, 2026
  • 2 minute(s) read
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Object Description

One record per patient - "Output" NCQA Payer Code - timeline period of active membership in the plan associated with that NCQA Payer Code. For each patient-period this object contains distinct records for each possible reportable "Output" NCQA Payer Code associated with any of the patient's contemporaneous "Input" NCQA Payer Codes. Logic should correctly handle (i.e., without unwanted duplication) scenarios in which the patient has multiple concurrent plans, including the subset of those scenarios in which the patient has multiple concurrent plans with the same "Output" NCQA Payer Code.

Metadata

  • Table Name: ursa.so_ursa_quality_pat_003_pre_1
  • Layer: SYNTHETIC_OBJECT
  • Object Type: Complex Timeline
  • Temporal Class: Interval (Timeline)
  • Case ID: Patient ID - Output NCQA Payer Type
  • Interval Start Date: Period Start Date
  • Interval End Date: Period End Date
  • Primary Key: Patient ID - Output NCQA Payer Type, Period Start Date, Period End Date

Published Fields

  • Data Model Keys

    • Patient ID - Output NCQA Payer Type
    • Patient ID -- The internal database identifier (used, e.g., for joins and primary keys) for the patient. This value is typically mastered, i.e., all records for the same patient, regardless of the source data system from which that record originated, should have the same Patient ID value. (Note that while the mastered Patient ID value might resemble a local identifier used in one of the upstream data sources, this does not indicate any special priority of that source system in determining the characteristics of the patient.) (See also [URSA-CORE] Patient)

  • Date Fields

    • Period Start Date -- The date identifying the start of a period of time. Period Start Date values are inclusive; e.g., a period with Period Start Date = January 1 would begin be considered to begin at 00:00 on January 1.
    • Period End Date -- The date identifying the end of an period of time. Period End Date values are exclusive; e.g., a period with Period End Date = January 1 would begin be considered to end at precisely 00:00 on January 1 (meaning that the period did not include any time on January 1).

  • Insurance Fields

    • Input NCQA Payer Type Code
    • Is Commercial Input NCQA Payer Type Code
    • Is Medicare Input NCQA Payer Type Code
    • Is Medicaid Input NCQA Payer Type Code
    • Is SNP Input NCQA Payer Type Code
    • Is Exchange Input NCQA Payer Type Code
    • Is MMP Input NCQA Payer Type Code
    • Output NCQA Payer Type Code
    • Is Commercial Output NCQA Payer Type Code
    • Is Medicare Output NCQA Payer Type Code
    • Is Medicaid Output NCQA Payer Type Code
    • Is SNP Output NCQA Payer Type Code
    • Is Exchange Output NCQA Payer Type Code
    • Is MMP Output NCQA Payer Type Code

  • Validation Only Fields

    • Input Commercial NCQA Payer Type Code
    • Output Commercial NCQA Payer Type Code
    • Input Medicare NCQA Payer Type Code
    • Output Medicare NCQA Payer Type Code
    • Input Medicaid NCQA Payer Type Code
    • Output Medicaid NCQA Payer Type Code
    • Input SNP NCQA Payer Type Code
    • Output SNP NCQA Payer Type Code
    • Input Exchange NCQA Payer Type Code
    • Output Exchange NCQA Payer Type Code
    • Input Medicare-Medicaid Plans NCQA Payer Type Code
    • Output MMP NCQA Payer Type Code

Foreign Keys

  • pat_id → ursa.no_ursa_core_pat_001.pat_id