Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect non-state plan services, uncollected co-pays, pharmacy rebates, third party liability recoveries, and non-encounter claims payments. Services excluded from initial base data summaries Non-State Plan Services We excluded all services included in the encounter data that do not reflect approved state plan services (nor are an approved in-lieu-of service).
Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect non-state plan services, uncollected co-pays, pharmacy rebates, third party liability recoveries, and non-encounter claims payments.
Exclusion of payments or services from the data. The following adjustments were made to the base experience data to reflect third party liability recoveries and fraud and abuse recoveries.
