No adjudicated claims data- ACO Reach + MSSP Program data

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Avinash Kumar

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Nov 4, 2024, 8:16:10 AM11/4/24
to Beneficiary Claims Data API (BCDA) Community
Hello Team:

We ran the process on Friday (11/1), and on Saturday (11/2) to fetch the data for fully adjudicated claims data for MSSP and ACO Reach contracts.

Is there any issue going on your end? Token was getting accepted, and patient data is only coming from the API pulls. 

Please let me know.

Thanks!
Avinash Kumar

Beneficiary Claims Data API (BCDA) Community

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Nov 4, 2024, 9:22:38 AM11/4/24
to Beneficiary Claims Data API (BCDA) Community
Hi Avinash,

We are sorry to hear about the issue accessing adjudicated claims data. In support of our investigation, please share the following:
  1. The 5 character Entity ID for your organization(s). For example, ACOs in the Shared Savings Program have Entity IDs which begin with the letter 'A' followed by four numbers, like "A9999".
  2. The API request that is resulting in returning only the patient data. Please be sure to censor Personally Identifiable Information (PII) and other sensitive information (e.g., private keys, passwords) by replacing the information with the word ‘REDACTED’. Additional details and guidance can be found here in the Google Group.
  3. Any additional messaging the system is providing to accompany the Patient resources.
  4. The last time a successful job was completed for your respective entity(ies).
  5. Whether this is happening for every type of resource type (e.g., patient, EoB, coverage).
Feel free to add additional key details, and be sure to redact PII and other sensitive information.

Thank you in advance,
The BCDA Team
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