The 20% coverage at KUMC may be sufficient for PCORI data standard, but the NEXT-D project may benefit from more coverage. Alona can probably comment on how critical it is.
Mei From: Dan Connolly Sent: Tuesday, September 18, 2018 12:13 PM To: Al'ona Furmanchuk <furmanc...@icnanotox.org>; Mei Liu <mei...@kumc.edu> Cc: , <gpc-dev@listserv.kumc.edu>; Sravani Chandaka <schand...@kumc.edu>; Xing Song <xs...@kumc.edu> Subject: PCORNet CDM insurance payer mapping by KUMC for next-D Mei, Alona pointed out on today's gpc-dev call that only 20% of KUMC's CDM encounters have insurance mapped, and that next-D depends on having more like 80% mapped. I thought perhaps that 20% was before some recent work in this area, but the most recent EDC report we submitted to PCORNet was generated Aug 2. Table IVC. Missing or Unknown Values, Required Tables shows 80.4% missing for PAYER_TYPE_PRIMARY and 100% missing for PAYER_TYPE_SECONDARY. The internal ticket for this work was #4867. A July 3 comment says "Point of interest, payer is specified for about 20% of patient encounters". I don't see any indication that this was insufficient nor that more was feasible. Ticket 4867 included work in both i2p-transform and HERON ETL. The i2p-transform work included payer_map.csv<https://github.com/kumc-bmi/i2p-transform/blob/master/curated_data/payer_map.csv>. For more details, see: https://github.com/kumc-bmi/i2p-transform/pull/104 https://github.com/kumc-bmi/i2p-transform/commit/bf191f70fa0b0393f0c3dd0977ce124fd8fdc28b The HERON part was an insurance_and_payer_4687 branch that landed July 9. https://github.com/kumc-bmi/heron/commit/5072746bf1070ce73042b3138f0accd0e5ce87d7 -- Dan
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