If during an audit a member’s casemix category is reduced, but is not reflected on the eligibility file after a month, what should we do?
Related Questions
- Since the Data Call instructions for capturing exposure data and developing the audit file specifications do not require a premium to be reported, is the premium amount required for audit purposes?
- When I open a certain cookbook, I get the message "For this cookbook: NAME.GCF the category index file (.cdx) is longer than it should be. It may be corrupt." What is happening?
- How long is proof of eligibility kept on file?
