Ada Dental Claim Form by ecl10884

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									Section C - Completion Factors                                        Introduction




This file presents AHCCCS estimated completion factors based on actual approved and adjudicated encounters.
AHCCCS utilized the traditional claims lag triangle methodology with the incurred month as the date of service on the
encounter and the paid month as the date that the encounter was approved and adjudicated through the AHCCCS
encounter system. As with all encounter data being shared, encounters for one Contractor have been excluded due to
encounter data issues.




D:\Docstoc\Working\pdf\96e11200-672a-4a8f-a0ea-4a91c56d495e.xls                                                         12/5/2010
Section C - Completion Factors                CY 07 CFs


Completion Factors used for CY 07 (6 months) of data

Form Type        I         O        A          C          D       L
GSA 2           93.7%      93.8%    97.0%      97.8%      95.7%   94.1%
GSA 4           94.3%      94.3%    98.0%      99.3%      94.0%   92.3%
GSA 6           94.1%      93.6%    95.9%      96.3%      95.1%   95.2%
GSA 8           94.1%      94.1%    98.7%      91.7%      98.4%   93.7%
GSA 10          95.0%      93.0%    96.6%      94.0%      96.5%   96.1%
GSA 12          93.5%      93.6%    95.7%      93.0%      93.7%   93.1%
GSA 14          94.7%      94.4%    96.0%      96.4%      96.2%   93.3%


     I      UB-92 Inpatient
     O      UB-92 Outpatient Hospital
     A      CMS-1500 Professional and Other Services
     C      Universal Claim Form-Prescription Drugs
     D      ADA Dental Services
     L      Nursing Facility




D:\Docstoc\Working\pdf\96e11200-672a-4a8f-a0ea-4a91c56d495e.xls           12/5/2010
Section C - Completion Factors                CYE06 CFs


Completion Factors used for CYE06

Form Type        I         O        A          C          D       L
GSA 2           98.7%      99.3%    99.6%      98.8%      99.4%   98.4%
GSA 4           99.0%      99.1%    99.8%      99.9%      98.1%   98.1%
GSA 6           99.3%      99.0%    99.4%      97.9%      99.4%   98.7%
GSA 8           98.9%      98.7%    99.9%      97.0%      99.7%   98.6%
GSA 10          99.1%      99.0%    99.6%      98.1%      99.6%   99.5%
GSA 12          99.0%      99.0%    99.4%      97.1%      98.1%   98.7%
GSA 14          98.9%      99.2%    99.5%      98.0%      99.5%   98.6%




     I      UB-92 Inpatient
     O      UB-92 Outpatient Hospital
     A      CMS-1500 Professional and Other Services
     C      Universal Claim Form-Prescription Drugs
     D      ADA Dental Services
     L      Nursing Facility




D:\Docstoc\Working\pdf\96e11200-672a-4a8f-a0ea-4a91c56d495e.xls           12/5/2010
Section C - Completion Factors                CYE05 CFs


Completion Factors used for CYE05

Form Type        I         O         A         C        D         L
GSA 2           99.9%     100.0%    100.0%    100.0%   100.0%     99.7%
GSA 4           99.9%     100.0%    100.0%    100.0%    99.9%     99.4%
GSA 6          100.0%     100.0%    100.0%    100.0%   100.0%     99.8%
GSA 8           99.9%      99.9%    100.0%     99.9%   100.0%     99.9%
GSA 10          99.9%     100.0%    100.0%    100.0%   100.0%     99.9%
GSA 12          99.9%     100.0%    100.0%    100.0%    99.9%     99.9%
GSA 14         100.0%     100.0%    100.0%    100.0%    99.9%     99.8%


     I      UB-92 Inpatient
     O      UB-92 Outpatient Hospital
     A      CMS-1500 Professional and Other Services
     C      Universal Claim Form-Prescription Drugs
     D      ADA Dental Services
     L      Nursing Facility




D:\Docstoc\Working\pdf\96e11200-672a-4a8f-a0ea-4a91c56d495e.xls           12/5/2010

								
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