MCP Enrollment Reports by lmk21156


									MCP PCM Assignment Reports
           Report                   Menu Path         Frequency                          Data the Report Provides                          How the Report is Used
Family Batch PCM             OMCP>ERME>LABL>1                        This option allows you to build family batch PCM assignment
Assignment Labels Build                                              labels for enrolled and nonenrolled patients, and sort them by
Utility                                                              unit or location. During the build process, you may define
                                                                     selection criteria. Labels are generated only for patients who
                                                                     meet the criteria and who have complete address information.

Family Batch PCM                OMCP>ERME>LABL>2                     This option allows you to print family batch PCM assignment
Assignment Labels Print Utility                                      labels either in their entirety or in subsets.

Incomplete Patient Address   OMCP>ERME>LABL>3      As needed         Alphabetical list of names and addresses of beneficiaries who Identifies patients who require
Report (Home or Duty)                                                have been selected for patient mailing labels but have invalid mailings in MCP but whose
                                                                     or incomplete addresses                                        addresses need correction

AD Family Member by Unit     OMCP>ERME>ROST>1      Only when          Lists, by unit of assignment, all family member enrollees          Identifies: 1) TRICARE Prime
PCM Assignment Roster                              necessary, it is a whose active duty sponsor is assigned to that unit.                family member enrollees who
                                                   large report                                                                          may move when their active
                                                                                                                                         duty sponsor's unit leaves or
                                                                                                                                         the unit is deployed. 2) A FM
                                                                                                                                         enrollee population profiled by
                                                                                                                                         sponsor unit
Alphabetic PCM Assignment    OMCP>ERME>ROST>2      Only when          This roster lists, in alphabetical order, PCM assignments by       Verifies all enrollments for a
Roster by Service                                  necessary, it is a branch of service for selected division(s). You may select         specified date range.
                                                   large report       (O)ne, (M)ultiple, or (A)ll divisions; and within the selected
                                                                      division(s), by (O)ne, (M)ultiple, or (A)ll branches of service.
                                                                      You may select multiple UICs or multiple patient categories
                                                                      and limit PCM assignments on the report for those whose
                                                                      enrollment start dates fall within a specified period. Data
                                                                      provided includes name, FMP/SSN, DDS, DOB, PCM,
                                                                      sponsor, rank, home and work phone numbers, address,
                                                                      PCM assignment date, exception condition text, OHI status,
                                                                      and patient category.
Case Management Program      OMCP>ERME>ROST>3      As needed          Lists by division and network provider case manager, all MCP To obtain a list of all network
Roster                                                                enrollees who have been assigned a case manager and              case managers recorded in
                                                                      effective dates of assignment.                                   MCP who have enrollees
                                                                                                                                       assigned to them.
PCM Assignment Losses for    OMCP>ERME>ROST>4      Weekly or as      This report lists, by Enrolling DMIS ID, the individual enrollees   This report should be used to
Period by Reason Code                              needed to         whose PCM Assignment loss was processed in CHCS during              determine patient
                                                   Analyze PCM       the user-specified date range. Patients are listed under their      dissatisfaction with the
                                                   Assignment loss   reason for PCM assignment loss. The user has the option to          program or PCM or to analyze
                                                   trends.           print some or all of the PCM assignment loss reasons and            trends and frequency in PCM
                                                                     selected Enrolling DMIS Ids.                                        Assignment losses. This
                                                                                                                                         report can be used to track
                                                                                                                                         PCM assignment losses. The
                                                                                                                                         report also identifies the
                                                                                                                                         category and numbers of PCM
                                                                                                                                         Assignment losses. Specific
                                                                                                                                         reasons may be of special
                                                                                                                                  interest to the MTF
                                                                                                                                  Commander, Lead Agent, or
                                                                                                                                  the Quality Assurance review.

Track User Report          OMCP>ERME>ROST>5                     This report shows MCP enrollment records that have been
                                                                originated, modified, or had the PCM changed within a
                                                                specified date range. This report displays the users that
                                                                originated or modified an enrollment record, or changed the
                                                                PCM for an enrollment record. This report may be printed for
                                                                (O)ne, (M)ultiple, or (A)ll Enrolling DMIS Ids, and within
                                                                Enrolling DMIS Ids by (O)ne, (M)ultiple, or (A)ll sponsor SSNs,
                                                                Patient Category Groups, or Users.
UIC Maintenance Report     OMCP>ERME>ROST>6   Weekly or as       There are 2 parts to this report: 1) Report lists AD members     1) This report allows you to
                                              needed IF you     whose unit of assignment has changed. It shows the former         determine if the beneficiary
                                              get a CP bulletin unit and the new unit. You have to determine if they still        should still be assigned to
                                              indicating there belong in their current PCM. 2) List beneficiaries with UICs       their current PCM or if they
                                              are               that are not standard values in the UIC table or invalid UIC.     need to be reassigned. To
                                              discrepancies     This happens if unknown is entered in the Station/Unit field      reassign go into EENR and
                                                                during registration.                                              then (P)CM and reassign the
                                                                                                                                  patient. 2) If you have a
                                                                                                                                  UIC/PCM link it is very
                                                                                                                                  important to make sure that
                                                                                                                                  the UIC is correct. If the UIC
                                                                                                                                  is correct but not listed in the
                                                                                                                                  table, call or mailman
                                                                                                                                  message to your System
                                                                                                                                  Administrator to have it
PCM Assignment Roster by   OMCP>ERME>ROST>7                     Primary sorts are by enrolling DMIS ID, PCM, or group.

PCM Assignment Change      OMCP>ERME>ROST>8   As needed         This report shows the assignment changes for a specified
Roster by Reason                                                date range. Primary sorts are by PCM End Reason or PCM.

PCM Assignment Loss by     OMCP>ERME>SUMM>1   As needed to      This report summarizes the number of assignment losses for
Reason Summary                                determine         a specified date range. It contains a subcount of assignment
                                              dissatisfaction   losses for each reason code, a subtotal for each Enrolling
                                              with the          DMIS ID, and a grand total for all assignment losses within
                                              TRICARE           the specified date range and the specified Enrolling DMIS
                                              program or a      IDs.
                                              PCM. Also,
                                              monthly or
                                              quarterly to
                                              trends for
PCM Assignment Summary   OMCP>ERME>SUMM>2       As needed to       This is a two-part summary report.
                                                reconcile PCM
                                                Assignment         Part I: By Patient Category
                                                totals to ensure   This section shows, by enrolling DMIS ID and user-specified
                                                that all PCM       date range, the total PCM assignments broken out by
                                                assignments are    beneficiary category (active duty, dependent of active duty,
                                                being recorded     retired,
                                                in CHCS and to     dependent of retired, and other). Subtotals are also provided
                                                verify PCM         by rank: E1-E4, E5-E9, W1-W4, O1-O10. Consolidated totals
                                                assignment         are printed for all DMIS IDs selected for the report.
                                                                   Part II: By PCM
                                                                   The second part of the report contains the same information
                                                                   and selection capabilities as the first part, but totals are
                                                                   reported by PCM. Consolidated totals are also printed for all
                                                                   Enrolling DMIS IDs selected for the report.
Other Health Insurance (OHI) OMCP>ERME>SUMM>3   As needed          Lists the current number of enrollee OHI policies for each       Determines the number of
PCM Assignment Summary                                             Insurance Carrier                                                enrollees with Other Health
                                                                                                                                    Insurance policies

Patient Category PCM     OMCP>ERME>SUMM>4       As needed          Lists by division the total current enrollees as of report run   Determines the distribution of
Assignment Summary                                                 date grouped by patient category (A11,N11,F41,etc.) or by        enrollees by Service and by
                                                                   Service affiliation. Subtotals by beneficiary category (active   beneficiary category/patient
                                                                   duty, active duty family member, etc.) Pending, conditional,     category. Identifies the
                                                                   and invalids are included.                                       beneficiaries who were
                                                                                                                                    enrolled in error or whose
                                                                                                                                    patient categories have
                                                                                                                                    changed since enrollment.
ACV / HCDP PCM           OMCP>ERME>SUMM>5       As needed to       This report shows a summary of patients who are currently        Particularly, this report can be
Assignment Summary                              determine the      assigned to PCMs by Enrolling                                    used to identify the existence
                                                distribution of    DMIS ID or multiple Enrolling DMIS IDs, for a PCM Group or       of beneficiaries enrolled in the
                                                PCM                Individual, broken down either                                   TRICARE Plus program as a
                                                assignments by     by Alternate Care Value (ACV) or Health Care Delivery            separate program from
                                                Alternate Care     Program (HCDP).                                                  TRICARE Prime.
                                                Value (ACV) or
                                                by Health Care

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