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# New Contracts (per Qnxt ProvID) for week 0430-0405
PAR
86
149
127
362
Category
PDMS
taff
total
update
create
create(Error)
update(Error)
Total(Error)
Percentage
Average
create(Clean)
update(Clean)
Total(Clean)
Percentage
Average
Provider Updates ajames 274 139 135 12 12 4% 135 127 262 96%
Provider Updates amaxim 204 198 6 27 27 13% 6 171 177 87%
Provider Updates dwomer 267 155 112 1 5 6 2% 111 150 261 98%
Provider Updates gsmith 276 138 138 1 12 13 5% 137 126 263
95%
Provider Updates jishway 286 234 52 20 20 7% 52 214 266 93%
Provider Updates lgranados 51 5 46 7 7 14% 39 5 44 86%Provider
Updates lkaupa 220 85 135 11 11 5% 135 74 209 95%
Provider Updates mbigger 202 113 89 3 5 8 4% 86 108 194 96%
Provider Updates mortwein 73 16 57 7 1 8 11% 50 15 65 89%
Provider Updates rharris 294 175 119 2 15 17 6% 117 160 277
94%
Provider Updates tmoss 270 157 113 5 5 2% 7% 113 152 265 98%
93%
Plan Rel Updates ajames 397 22 375 3 3 1% 375 19 394 99%
Plan Rel Updates amaxim 68 26 42 3 3 4% 42 23 65 96%
Plan Rel Updates dwomer 334 8 326 1 2 3 1% 325 6 331 99%
Plan Rel Updates gsmith 366 49 317 7 3 10 3% 310 46 356 97%
Plan Rel Updates jishway 174 19 155 4 4 2% 155 15 170 98%
Plan Rel Updates lgranados 81 2 79 17 17 21% 62 2 64 79%
Plan Rel Updates lkaupa 481 90 391 3 3 1% 391 87 478 99%
Plan Rel Updates mbigger 347 75 272 1 11 12 3% 271 64 335
97%
Plan Rel Updates mortwein 114 1 113 25 1 26 23% 88 0 88 77%
Plan Rel Updates rharris 416 125 291 0 0% 291 125 416 100%
Plan Rel Updates tmoss 355 24 331 1 1 0% 5% 331 23 354 100%
95%
Plan Affiliation Updates ajames 348 64 284 3 8 11 3% 281 56 337
97%
Plan Affiliation Updates amaxim 65 30 35 3 10 13 20% 32 20 52
80%
Plan Affiliation Updates dwomer 315 17 298 5 5 2% 293 17 310
98%
Plan Affiliation Updates gsmith 315 13 302 6 6 2% 296 13 309
98%
Plan Affiliation Updates jishway 160 8 152 11 2 13 8% 141 6 147
92%
Plan Affiliation Updates lgranados 100 4 96 1 1 1% 95 4 99
99%
Plan Affiliation Updates lkaupa 345 8 337 7 7 2% 330 8 338
98%
Plan Affiliation Updates mbigger 259 12 247 2 2 4 2% 245 10 255
98%
Plan Affiliation Updates mortwein 239 18 221 24 24 10% 197 18
215 90%
Plan Affiliation Updates rharris 330 39 291 1 33 34 10% 290 6
296 90%
Plan Affiliation Updates tmoss 318 13 305 3 5 8 3% 6% 302 8 310
97% 94%Contract Updates ajames 430 33 397 36 36 8% 361 33 394
92%
Contract Updates amaxim 27 11 16 4 4 15% 12 11 23 85%
Contract Updates dwomer 345 24 321 28 28 8% 293 24 317 92%
Contract Updates gsmith 289 4 285 87 87 30% 198 4 202 70%
Contract Updates jishway 201 13 188 24 24 12% 164 13 177 88%
Contract Updates lgranados 92 0 92 46 46 50% 46 0 46 50%
Contract Updates lkaupa 399 11 388 3 3 1% 385 11 396 99%
Contract Updates mbigger 190 9 181 24 24 13% 157 9 166 87%
Contract Updates mortwein 164 20 144 84 84 51% 60 20 80 49%
Contract Updates rharris 255 10 245 96 96 38% 149 10 159 62%
Contract Updates tmoss 354 18 336 13 13 4% 21% 323 18 341 96%
79% 90%
Weekly QA Discrepancy Report (per category)Discrepancy
StatsGeneral Info Clean Record Stats
270
262
776
13
Total
19
9
41
Program
Bravo Health MAPD Mid-Atlantic
Bravo Health MAPD Pennsylvania
Bravo Health MAPD Texas
Problematic
244
Non PAR
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Category
PDMS
taff
total
update
create
create(Error)
update(Error)
Total(Error)
Percentage
Average
create(Clean)
update(Clean)
Total(Clean)
Percentage
Average
Provider Updates ajames 274 139 135 12 12 4% 135 127 262 96%
Plan Rel Updates ajames 397 22 375 3 3 1% 375 19 394 99%
Plan Affiliation Updates ajames 348 64 284 3 8 11 3% 281 56 337
97%Contract Updates ajames 430 33 397 36 36 8% 4% 361 33 394 92%
96%
Provider Updates amaxim 204 198 6 27 27 13% 6 171 177 87%
Plan Rel Updates amaxim 68 26 42 3 3 4% 42 23 65 96%
Plan Affiliation Updates amaxim 65 30 35 3 10 13 20% 32 20 52
80%
Contract Updates amaxim 27 11 16 4 4 15% 13% 12 11 23 85%
87%
Provider Updates dwomer 267 155 112 1 5 6 2% 111 150 261 98%
Plan Rel Updates dwomer 334 8 326 1 2 3 1% 325 6 331 99%
Plan Affiliation Updates dwomer 315 17 298 5 5 2% 293 17 310
98%
Contract Updates dwomer 345 24 321 28 28 8% 3% 293 24 317 92%
97%
Provider Updates gsmith 276 138 138 1 12 13 5% 137 126 263
95%
Plan Rel Updates gsmith 366 49 317 7 3 10 3% 310 46 356 97%
Plan Affiliation Updates gsmith 315 13 302 6 6 2% 296 13 309
98%
Contract Updates gsmith 289 4 285 87 87 30% 10% 198 4 202 70%
90%Provider Updates jishway 286 234 52 20 20 7% 52 214 266 93%
Plan Rel Updates jishway 174 19 155 4 4 2% 155 15 170 98%
Plan Affiliation Updates jishway 160 8 152 11 2 13 8% 141 6 147
92%
Contract Updates jishway 201 13 188 24 24 12% 7% 164 13 177 88%
93%
Provider Updates lgranados 51 5 46 7 7 14% 39 5 44 86%
Plan Rel Updates lgranados 81 2 79 17 17 21% 62 2 64 79%
Plan Affiliation Updates lgranados 100 4 96 1 1 1% 95 4 99
99%
Contract Updates lgranados 92 0 92 46 46 50% 21% 46 0 46 50%
79%
Provider Updates lkaupa 220 85 135 11 11 5% 135 74 209 95%
Plan Rel Updates lkaupa 481 90 391 3 3 1% 391 87 478 99%
Plan Affiliation Updates lkaupa 345 8 337 7 7 2% 330 8 338
98%
Contract Updates lkaupa 399 11 388 3 3 1% 2% 385 11 396 99%
98%
Provider Updates mbigger 202 113 89 3 5 8 4% 86 108 194 96%
Plan Rel Updates mbigger 347 75 272 1 11 12 3% 271 64 335
97%Plan Affiliation Updates mbigger 259 12 247 2 2 4 2% 245 10 255
98%
Contract Updates mbigger 190 9 181 24 24 13% 5% 157 9 166 87%
95%
Provider Updates mortwein 73 16 57 7 1 8 11% 50 15 65 89%
Plan Rel Updates mortwein 114 1 113 25 1 26 23% 88 0 88 77%
Plan Affiliation Updates mortwein 239 18 221 24 24 10% 197 18
215 90%
Contract Updates mortwein 164 20 144 84 84 51% 24% 60 20 80 49%
76%
Provider Updates rharris 294 175 119 2 15 17 6% 117 160 277
94%
Plan Rel Updates rharris 416 125 291 0 0% 291 125 416 100%
Plan Affiliation Updates rharris 330 39 291 1 33 34 10% 290 6
296 90%
Contract Updates rharris 255 10 245 96 96 38% 13% 149 10 159 62%
87%
Provider Updates tmoss 270 157 113 5 5 2% 113 152 265 98%
Plan Rel Updates tmoss 355 24 331 1 1 0% 331 23 354 100%
Plan Affiliation Updates tmoss 318 13 305 3 5 8 3% 302 8 310
97%Contract Updates tmoss 354 18 336 13 13 4% 2% 323 18 341 96% 98%
90%
Weekly QA Discrepancy Report (per PDM Staff)General Info
Discrepancy Stats Clean Record Stats
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Category Discrepancy Description update id update create
Affiliation Updates Direct Aff, with No FedID tmoss 3 1
Affiliation Updates Direct Aff, with No MailingAddr tmoss
1Affiliation Updates Direct Aff, with No PhysicalAddr tmoss 1 1
Provider Updates DupProv with Status = Active tmoss 1
Provider Updates GrpofProv with no NPI tmoss 2
Provider Updates Illegal Prov with Status Active,Inactive tmoss
1
Contract Updates Non PAR + with No NonPar Description tmoss
2
Contract Updates NonPar + Credential tmoss 2
Affiliation Updates NonPayto Aff, with Payflag 0 (checked) tmoss
1
Contract Updates PAR + Uncredential tmoss 7
Plan Rel Updates PCP =N, NewMem = Y tmoss 1
Provider Updates PhyClinic with no Phone tmoss 1
Contract Updates ReqRefund = 0 (unchecked) tmoss 2
Affiliation Updates Direct Aff, with No FedID rharris 1
Affiliation Updates Direct Aff, with No MailingAddr rharris
1Provider Updates DupProv with Status = Active rharris 1
Provider Updates GrpofProv with no MailingAdd rharris 1
Provider Updates GrpofProv with no NPI rharris 6
Provider Updates Illegal Prov with Status Active,Inactive
rharris 2
Provider Updates Inactive+Credential rharris 1
Affiliation Updates InactiveProv with OPEN Affiliation rharris
31
Provider Updates InactiveRenProv with NPI = blank rharris 1
Affiliation Updates NewProv with No Affiliation rharris 1
Contract Updates NonPar + Credential rharris 88
Contract Updates PAR + Uncredential rharris 4
Contract Updates PAR + with NonPar Description rharris 2
Provider Updates PhyClinic with FedID rharris 1Provider Updates
PhyClinic with no Phone rharris 2
Provider Updates RenProv with no PhysAddr rharris 1 1
Contract Updates ReqRefund = 0 (unchecked) rharris 2
Plan Rel Updates ActiveProvider with No ActivePlanRel none
Plan Rel Updates AgeMin 0 none
Affiliation Updates Direct Aff, with No NPI none
Provider Updates DupProv with FedID blank none
Provider Updates DupProv with NPI blank none
Provider Updates Illegal Prov with NPI none
Provider Updates InactiveGrpofProv with MailingAddr = blank
none
Contract Updates InactiveProv with OPEN Contract none
Contract Updates NewProv with No Contract noneProvider Updates
ProvType = '%Z' none
Plan Rel Updates Region PA/TX/MidAtlantic No PFFS none
Affiliation Updates Group Aff, with PCP 0 (checked) mortwein
23
Provider Updates Illegal Prov with Status Active,Inactive
mortwein 1 2
Plan Rel Updates NewProv with No PlanRel mortwein 1
Contract Updates NonPar + Credential mortwein 74
Affiliation Updates NonPayto Aff, with Payflag 0 (checked)
mortwein 1
Contract Updates PAR + Uncredential mortwein 10
Weekly QA Discrepancy Report: 03/30- 04/05
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Category Discrepancy Description update id update create
Weekly QA Discrepancy Report: 03/30- 04/05
Plan Rel Updates PCP =N, NewMem = Y mortwein 1 24
Provider Updates PhyClinic with FedID mortwein 4
Provider Updates RenProv with no NPI mortwein 1Provider Updates
GrpofProv with no MailingAdd mbigger 1
Provider Updates GrpofProv with no NPI mbigger 2
Provider Updates Illegal Prov with Status Active,Inactive
mbigger 1 2
Affiliation Updates InactiveProv with OPEN Affiliation mbigger
2
Plan Rel Updates InactiveProv with OPEN Plan Rel mbigger 3
Provider Updates InactiveRenProv with NPI = blank mbigger 1
Plan Rel Updates MultiplePlanRel with inconsistent PlanProv
mbigger 1
Affiliation Updates NewProv with No Affiliation mbigger 1
Plan Rel Updates NewProv with No PlanRel mbigger 1
Contract Updates Non PAR + with No NonPar Description mbigger
2
Contract Updates NonPar + Credential mbigger 20
Affiliation Updates NonPayto Aff, with Payflag 0 (checked)
mbigger 1Contract Updates PAR + Uncredential mbigger 2
Provider Updates PhyClinic with no PhysAddr mbigger 1
Plan Rel Updates PlanProv = blank mbigger 7
Affiliation Updates Direct Aff, with No MailingAddr lkaupa 3
Affiliation Updates Direct Aff, with No PhysicalAddr lkaupa
4
Provider Updates GrpofProv with no FedID lkaupa 1
Provider Updates GrpofProv with no MailingAdd lkaupa 1
Provider Updates GrpofProv with no NPI lkaupa 8
Contract Updates NonPar + Credential lkaupa 2
Contract Updates PAR + Uncredential lkaupa 1
Plan Rel Updates PCP =N, NewMem = Y lkaupa 3
Provider Updates RenProv with no NPI lkaupa 1
Affiliation Updates Group Aff, with PCP 0 (checked) lgranados
1Provider Updates GrpofProv with no MailingAdd lgranados 3
Provider Updates GrpofProv with no NPI lgranados 3
Plan Rel Updates NewProv with No PlanRel lgranados 6
Plan Rel Updates NewRecONLY:PCP =Y, NewMem = N lgranados 1
Contract Updates NonPar + Credential lgranados 46
Plan Rel Updates PCP =N, NewMem = Y lgranados 10
Provider Updates RenProv with no PhysAddr lgranados 1
Plan Rel Updates AgeMax 2399 jishway 1
Affiliation Updates Direct Aff, with No FedID jishway 1 4
Affiliation Updates Direct Aff, with No MailingAddr jishway
2
Affiliation Updates Direct Aff, with No PhysicalAddr jishway
5
Provider Updates DupProv with Status = Active jishway 1Provider
Updates GrpofProv with no FedID jishway 3
Provider Updates GrpofProv with no MailingAdd jishway 1
Provider Updates GrpofProv with no NPI jishway 11
Provider Updates InactiveGrpofProv with FedID = blank jishway
1
Provider Updates InactiveGrpofProv with NPI = blank jishway
1
Affiliation Updates InactiveProv with OPEN Affiliation jishway
1
Plan Rel Updates InactiveProv with OPEN Plan Rel jishway 2
Contract Updates NonPar + Credential jishway 34
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Category Discrepancy Description update id update create
Weekly QA Discrepancy Report: 03/30- 04/05
Plan Rel Updates PCP =N, NewMem = Y jishway 1
Provider Updates RenProv with no NPI jishway 1
Provider Updates RenProv with no PhysAddr jishway 1Plan Rel
Updates AgeMax 2399 gsmith 3
Affiliation Updates Direct Aff, with No FedID gsmith 3
Affiliation Updates Direct Aff, with No PhysicalAddr gsmith
3
Provider Updates GrpofProv with no FedID gsmith 1
Provider Updates GrpofProv with no MailingAdd gsmith 1
Provider Updates GrpofProv with no NPI gsmith 8
Plan Rel Updates NewProv with No PlanRel gsmith 7
Contract Updates Non PAR + with No NonPar Description gsmith
7
Contract Updates NonPar + Credential gsmith 80
Provider Updates PhyClinic with no Phone gsmith 1 1
Provider Updates RenProv with no Phone gsmith 1
Affiliation Updates Direct Aff, with No MailingAddr dwomer
1Affiliation Updates Direct Aff, with No PhysicalAddr dwomer 4
Provider Updates GrpofProv with no MailingAdd dwomer 1
Provider Updates GrpofProv with no NPI dwomer 2
Provider Updates Illegal Prov with Status Active,Inactive dwomer
1
Contract Updates Non PAR + with No NonPar Description dwomer
1
Contract Updates NonPar + Credential dwomer 23
Contract Updates PAR + Uncredential dwomer 2
Contract Updates PAR + with NonPar Description dwomer 2
Plan Rel Updates PCP =N, NewMem = Y dwomer 2 1
Provider Updates RenProv with no NPI dwomer 1
Provider Updates RenProv with no Phone dwomer 1
Affiliation Updates Direct Aff, with No FedID amaxim 6
Affiliation Updates Direct Aff, with No MailingAddr amaxim
2Affiliation Updates Direct Aff, with No PhysicalAddr amaxim 2
Provider Updates DupProv with Status = Active amaxim 1
Provider Updates GrpofProv with no FedID amaxim 4
Provider Updates GrpofProv with no NPI amaxim 16
Affiliation Updates InactiveProv with OPEN Affiliation amaxim
2
Plan Rel Updates InactiveProv with OPEN Plan Rel amaxim 2
Provider Updates InactiveRenProv with NPI = blank amaxim 2
Provider Updates InactiveRenProv with PhyAddr = blank amaxim
2
Contract Updates NonPar + Credential amaxim 4
Affiliation Updates Payto Aff, with Payflag = 0 (unchecked)
amaxim 1
Plan Rel Updates PCP =N, NewMem = Y amaxim 1
Provider Updates RenProv with no NPI amaxim 1Provider Updates
RenProv with no Phone amaxim 1
Affiliation Updates Direct Aff, with No FedID ajames 7
Affiliation Updates Direct Aff, with No MailingAddr ajames 1
Affiliation Updates Direct Aff, with No PhysicalAddr ajames
1
Provider Updates GrpofProv with no NPI ajames 6
Provider Updates Illegal Prov with Status Active,Inactive ajames
1
Provider Updates Inactive+Credential ajames 1
Provider Updates InactiveGrpofProv with FedID = blank ajames
1
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Category Discrepancy Description update id update create
Weekly QA Discrepancy Report: 03/30- 04/05
Provider Updates InactiveGrpofProv with NPI = blank ajames 1
Plan Rel Updates InactiveProv with OPEN Plan Rel ajames 2
Affiliation Updates NewProv with No Affiliation ajames 1Contract
Updates Non PAR + with No NonPar Description ajames 1
Contract Updates NonPar + Credential ajames 29
Affiliation Updates NonPayto Aff, with Payflag 0 (checked)
ajames 1
Contract Updates PAR + Uncredential ajames 3
Contract Updates PAR + with NonPar Description ajames 3
Plan Rel Updates PCP =N, NewMem = Y ajames 1
Provider Updates PhyClinic with no Phone ajames 1
Provider Updates RenProv with no NPI ajames 1
Provider Updates PhyClinic with NPI
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total
4
12
1
2 10
1
2
2 15
1
7
1
1
2
1
11
1
6
2
1
31
1
1
88
4
2
12
2
2
0
0
0
0
0
0
0
0
00
0
23
3
1
74
1
10
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8/16
total25
4
11
2
3
2
3
1
1
1
1
2
20
12
1
7
3
4
1
1
8
2
1
3
1
13
3
6
1
46
10
1
1
5
2
5
13
1
11
1
1
1
2
34
4/30/2012 Page 8 of 16 Prepared by: abeavan
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total1
1
13
3
3
1
1
8
7
7
80
2
1
14
1
2
1
1
23
2
2
3
1
1
6
22
1
4
16
2
2
2
2
4
1
1 30
11
7
1
1
6
1
1
1
4/30/2012 Page 9 of 16 Prepared by: abeavan
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total1
2
1 1061
29
1
3
3
1
1
1
0
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Category Discrepancy Description update id update create
Provider Updates DupProv with FedID blank
Provider Updates DupProv with NPI blankProvider Updates DupProv
with Status = Active
Provider Updates GrpofProv with no FedID lgranados 3
lkaupa 4
Provider Updates GrpofProv with no MailingAdd amaggard 2
lgranados 2 3
lkaupa 1
rharris 1
Provider Updates GrpofProv with no NPI ajames 1
amaxim 1
lkaupa 4
Provider Updates Illegal Prov with NPI
Provider Updates Illegal Prov with Status Active,Inactive
amaggard 1 2
bunderwoo 1mortwein 1
Provider Updates Inactive+Credential
Provider Updates InactiveGrpofProv with FedID = blank amaxim
1
Provider Updates InactiveGrpofProv with MailingAddr = blank
Provider Updates InactiveGrpofProv with NPI = blank amaxim 1
Provider Updates InactiveRenProv with NPI = blank
Provider Updates InactiveRenProv with PhyAddr = blank
Provider Updates PhyClinic with FedID bunderwoo 1
Provider Updates PhyClinic with no Phone lgranados 2
Provider Updates PhyClinic with no PhysAddr
Provider Updates PhyClinic with NPI amaggard 1
bunderwoo 1lgranados 1
lgranados 1
Provider Updates ProvType = '%Z' lmack 1
Provider Updates RenProv with no NPI amaggard 2 1
lmack 2 2
Provider Updates RenProv with no Phone ajames 2
amaxim 3
bunderwoo 1
dwomer 2
jishway 4
lmack 1 1Provider Updates RenProv with no PhysAddr bunderwoo
3
lgranados 1
lkaupa 1
rharris 1
tmoss 1
Plan Rel Updates ActiveProvider with No ActivePlanRel
Plan Rel Updates AgeMax 2399 jishway 2 1
lmack 1
Weekly QA Discrepancy Report: 03/30- 04/05
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Category Discrepancy Description update id update create
Weekly QA Discrepancy Report: 03/30- 04/05
tmoss 2
gsmith 9
Plan Rel Updates AgeMin 0 lmack 1Plan Rel Updates InactiveProv
with OPEN Plan Rel
Plan Rel Updates MultiplePlanRel with inconsistent PlanProv
gsmith 15
Plan Rel Updates NewProv with No PlanRel
Plan Rel Updates NewRecONLY:PCP =Y, NewMem = N
Plan Rel Updates PCP =N, NewMem = Y lkaupa 3
amaggard 2 5
amaxim 2
lmack 10
bunderwoo 7 11
mortwein 2
jishway 1dwomer 2 1
lkaupa 1
gsmith 1
Plan Rel Updates PlanProv = blank tmoss 2
amaggard 5
Plan Rel Updates Region PA/TX/MidAtlantic No PFFS
Contract Updates InactiveProv with OPEN Contract
Contract Updates NewProv with No Contract
Contract Updates Non PAR + with No NonPar Description dwomer
2
gsmith 2
Contract Updates NonPar + Credential ajames 6
amaggard 44
bunderwoo 112dwomer 4
gsmith 42
jishway 6
lmack 17
mbigger 24
rharris 8
Contract Updates PAR + Uncredential amaggard 3
dwomer 6
gsmith 10
lgranados 2
lkaupa 1
lmack 2tmoss 6
Contract Updates PAR + with NonPar Description ajames 2
dwomer 4
lmack 1
tmoss 2
Contract Updates ReqRefund = 0 (unchecked) none
Affiliation Updates Direct Aff, with No FedID ajames 1
amaxim 5
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Category Discrepancy Description update id update create
Weekly QA Discrepancy Report: 03/30- 04/05
gsmith 4
lgranados 1
lkaupa 3lmack 1
rharris 1 2
tmoss
Affiliation Updates Direct Aff, with No MailingAddr amaxim 2
dwomer 1
gsmith 6
jishway 8
lgranados 1
lkaupa 2
lmack 2
rharris 1
Affiliation Updates Direct Aff, with No NPI gsmith 1Affiliation
Updates Direct Aff, with No PhysicalAddr ajames 1
bunderwoo 2
dwomer 2
gsmith 1
jishway 4
lgranados 1
lkaupa 9
lmack 1
tmoss 4
Affiliation Updates Group Aff, with PCP 0 (checked) ajames 1
dwomer 1
gsmith 1
Affiliation Updates InactiveProv with OPEN
AffiliationAffiliation Updates NewProv with No Affiliation
Affiliation Updates NonPayto Aff, with Payflag 0 (checked) tmoss
2
lmack 1
Affiliation Updates Payto Aff, with Payflag = 0 (unchecked)
lmack 2
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total
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total
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total
4/30/2012 Page 16 of 16 Prepared by: abeavan
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