HPMS: Appeals

Primary Data Source: CareHub

Note that a deidentified version of this report will be available to download.

Field	Data Type	Description	Source
Organization	Text	The high level organization name.	CareHub
Contract Number	Text	The H number of the organization.	CareHub
Center	Text	The name of the specific site to which the participant is attributed.	CareHub
Team	Text	If applicable, the team to which the participant is attributed.	CareHub
PCP Name	Text	The name of the primary care provider to which the participant is attributed.	CareHub
Collection Year	Text	In the format of YYYY	CareHub: Based on Appeal Request Date
Collection Quarter	Text	One of the following: Q1 Q2 Q3 Q4	CareHub: Based on Appeal Request Date
Elation Patient Id	Text	The ID of the patient in Elation.	CareHub
Member Id	Text	The PACE organization’s member id for the participant.	CareHub
First Name	Text		CareHub
Middle Name	Text		CareHub
Last Name	Text		CareHub
DOB	Date	In the format of MM/DD/YYYY.	CareHub
Date Created	Date	Date the authorization was created in the format of MM/DD/YYYY.	CareHub
Date Closed	Date	Date the authorization was closed in the format of MM/DD/YYYY.	CareHub
Appeal Source	Text	Source of the Appeal as entered in CareHub.	CareHub
Appeal Type	Text	Specific type of Appeal as entered in CareHub.	CareHub
Appeal Type Other	Text	Description of Appeal if “Other” selected as the Appeal Type.	CareHub
Resolution	Text	Resolution of the Appeal as entered into CareHub.	CareHub
Denial Reason	Text	Denial reason (if applicable) as entered into CareHub.	CareHub
Denial Reason – Other	Text	Other reason for denial as entered into CareHub	CareHub
Appeal Id	Text	The unique identifier of the Appeal.	CareHub