Time of treatment (TOT) & partially vs fully adjudicated claims

[Derrick P]

Hi everyone,

New to the group.

We have been running through some use cases at our company to see if BCDA could add some value. 2 specific examples are 1) we heard the Time of Treatment (TOT) for dialysis would be available and 2) we would see much claims much faster compared to CCLF. 

After a few rounds of analysis, we have never been able to find the TOT in any of the data, and we are still seeing 2-3 week lag in the claims such as hospitalizations. Which make us think that the benefit of the partial adjudicated claims touted to be available in 2-4 days does not apply to hospitalizations. Are any of you experiencing similar lags in looking at hospitalization/DC claims? Is there an indicator that shows which are partially vs fully adjudicated?