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Data Reporting

Medical

Posted Date: August 27, 2021
    
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OverviewPolicy and POCUnit StatisticalFinancialIndemnityDCIPool
OverviewPolicy and POCUnit StatisticalFinancialIndemnityDCIPool

What is Medical data?

Medical data is the bill detail that comes from medical services rendered. The data includes all medical transactions associated with workers compensation claims.

What is Medical data used for?

NCCI collects Medical data to support legislative pricing focused on medical benefits. The data collected may also be used for research projects approved by the Medical Data Call Research Committee.

What resources are available for Medical data?

Tools and Services

  • Medical Data Collection—Enables you to report and view the status of your Medical Data submissions to NCCI. This tool also allows you to monitor the quality and completeness of your submissions from receipt through each level of editing, as well as your Medical Incentive Program results. Additionally, you may generate a report of your search results.

  • Data Transfer via the Internet (DTVI)—Is NCCI’s Web-based tool for reporting your data. This tool also allows you to receive your data files.

  • Data Manager Dashboard (DMD)—Provides you with a view to the Carrier Data Quality Report Program (Carrier Report Card), which includes the Medical Addendum. This addendum provides you with your company’s Medical Call data reporting results.

Reporting Resources

  • Medical Data Call Reporting Guidebook—Contains the rules and requirements for reporting Medical Call data, including record layouts, data definitions, and the Medical Data Call Edit Matrix.

  • Data Quality Guidebook—Contains the program rules and criteria for each of NCCI’s Data Quality Compliance Programs. It also includes NCCI’s approach to data quality, details for cross-data type comparisons, and workflows for data quality best practices.

  • Electronic Transmission User’s Guide—Contains the requirements for preparing and submitting test and production files for all NCCI data types. It also includes information for receiving data files and extracts electronically. Field specifications and record layouts for electronic transmissions are found in the WCIO Workers Compensation Data Specifications Manual.

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