URSA-CORE-919: Pharmacy Claims with Suspected Duplicate

Measure Description

Among pharmacy claims, the percentage with multiple records with identical patient, filled date, days supply, and NDC; the idea is that these duplicates will appear if the claims data have not been properly reconciled to final action.

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: Claim ID
• Target Direction: Down

Denominator Description

Pharmacy claim service line items.

Numerator Description

Denominator observations with at least one other pharmacy claim for the same patient, with the same filled date, NDC, and days supply.