PLAN_NO_SUPPORT_NA_AUDIT

Description: |
This table contains the results of health plan audits for risk adjustment categories that do not apply to the member, as of the given review date with the evidence available.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
SUMMARY_DATA_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | SUMMARY_DATA_ID | NUMERIC | No |
The unique identifier (.1 item) for the summary record.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | AUDIT_TEMPLATE_VERSION_C_NAME | VARCHAR | No |
The category version category ID for the category template determined during a health plan audit that does not apply to the patient.
May contain organization-specific values: Yes
Category Entries:
CMS-HCC V24 2023
CMS-HCC V24 2024
CMS-HCC V28 2024
HHS-HCC V07 2024
CMS-HCC V28 2025
HHS-HCC V07 2025
CMS-HCC ESRD V24 2025
HHS-HCC V08 2025
CMS-HCC V28 2026
CMS-HCC ESRD V24 2026
HHS-HCC V08 2026
RxHCC V08 2025
RxHCC V08 2026
4 | LAST_REVIEW_UTC_DTTM | DATETIME (UTC) | No |
The UTC date and time when the user last reviewed and marked the category as not applying to the patient.
5 | LAST_REVIEW_COMMENT | VARCHAR | No |
The review comments entered by the last audit reviewer about the category decision.
6 | NOT_APPLIES_DATE | DATETIME | No |
The date through which date of service based evidence was reviewed to confirm the category does not apply to the patient.