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Report gallery

264 board-facing reports, one contested number

83 of 264 reports compute the same metric — On-Time Delivery — and they disagree (94.1 vs 87.7). Worse, the 178 most board-exposed reports have no owner at all: when the board asks which number is right, there is no one to ask.

The finding

Every report below reads from the same warehouse yet reports On-Time Delivery differently. The owned reports (Priya, Marcus) at least have an accountable steward; the 178 unowned packs — Board OTD and Exec KPI — feed leadership a number nobody stands behind, one of them assembled manually in Excel.

All reports

264 reports · 178 UNOWNED · 83 compute a contested metric
Daily Adjudication Operations Dashboard
Power BI
owner: Priya Raman
Computes
Auto-Adjudication Rate no value
First-Pass Resolution Rate no value
Pended Claim Aging no value
Reads
adjudication_resultpended_claimclaim_status_historyexaminer_productivity
Pended & Aged Claims Inventory
Power BI
owner: Priya Raman
Computes
Pended Claim Aging no value
First-Pass Resolution Rate no value
Reads
pended_claimqueue_assignmentadjudication_queue
Monthly MLR Pack (Claims Basis)
Tableau
UNOWNED
Computes
Medical Loss Ratio (MLR) 86.4% conflict
Claims PMPM $412.70 conflict
Net Claims Cost $2.41B conflict
Reads
claim_lineclaim_payment_summarycob_detail
Net Claims Cost Reconciliation
Excel ⚠ manual
owner: Diane Okafor
Computes
Net Claims Cost $2.41B conflict
COB Recovery Rate no value
Reads
claim_linecob_recoveryoverpayment_recoverygl_posting
COB Savings & Recovery Tracker
Tableau
UNOWNED
Computes
COB Recovery Rate no value
Reads
cob_detailcob_recoveryclaim_linesubrogation_case
Claims PMPM Trend by Product Line
Tableau
UNOWNED
Computes
Claims PMPM $412.70 conflict
Average Paid per Claim no value
Reads
claim_lineclaim_payment_summarycapitation_roster
Denial Rate & Reason Analysis
Power BI
UNOWNED
Computes
Claims Denial Rate no value conflict
Reads
denied_claimreason_code_masterclaim_line
Edit & Override Effectiveness
Power BI
owner: Marcus Bell
Computes
Edit Override Rate no value
Auto-Adjudication Rate no value
Reads
claim_editedit_overrideedit_definition
Prompt-Pay Compliance Report
SSRS
UNOWNED
Computes
Clean Claim Turnaround Time no value
Days in Claims Payable (DCP) 38.6 conflict
Reads
claim_sla_trackinginterest_paymentclaim_header
Examiner Productivity Scorecard
Power BI
owner: Priya Raman
Reads
examinerexaminer_productivityqueue_assignment
Provider Payment Accuracy & Recovery
Cognos
UNOWNED
Computes
Provider Payment Accuracy no value
Reads
provider_paymentoverpayment_recoverypayment_void_reissue
Capitation Settlement Report
Excel ⚠ manual
UNOWNED
Computes
Capitation as % of Medical Spend no value
Reads
capitation_paymentcapitation_rosterclaim_line
High-Dollar Claim Review Log
SSRS
UNOWNED
Reads
high_dollar_claim_reviewclaim_headerdrg_pricing
Claims GL Reconciliation
Excel ⚠ manual
owner: Diane Okafor
Computes
Net Claims Cost $2.41B conflict
Reads
gl_postingclaim_line_payment_allocationcheck_registerprovider_payment
IBNR & Claim Lag Triangle
Excel ⚠ manual
UNOWNED
Computes
Days in Claims Payable (DCP) 38.6 conflict
Reads
ibnr_estimateclaim_lag_triangleclaim_line
Duplicate & Fraud Suspect Report
Power BI
UNOWNED
Reads
duplicate_claim_checkfraud_referralhigh_dollar_claim_review
Encounter Submission Compliance
SSRS
UNOWNED
Reads
encounter_submissionclaim_headerrisk_adjustment_claim_extract
Executive Claims Cost Summary
Tableau
UNOWNED
Computes
Medical Loss Ratio (MLR) 86.4% conflict
Claims PMPM $412.70 conflict
Net Claims Cost $2.41B conflict
Average Paid per Claim no value
Reads
claim_payment_summaryclaim_linecapitation_payment
Daily Active Membership Snapshot
Tableau
owner: Priya Nandakumar
Computes
Active Membership 601,840 conflict
Reads
eligibilitymember_month_summarymember_master
Member Months Trend (Monthly)
Tableau
UNOWNED
Computes
Member Months 7,184,200 conflict
Member Months Growth (YoY) no value
Reads
member_month_summaryeligibility
Enrollment Operations Dashboard
Power BI
owner: Devin Walsh
Computes
834 Auto-Adjudication Rate no value
Retro Enrollment Rate no value
Reads
enrollment_834_inboundenrollment_834_errorenrollment_workqueueenrollment_transaction
834 Error Aging Report
Power BI
owner: Devin Walsh
Reads
enrollment_834_errorenrollment_834_inbound
Retro Enrollment Exception Log
Excel ⚠ manual
UNOWNED
Computes
Retro Enrollment Rate no value
Reads
retro_enrollmentenrollment_spantermination
Group Census & Enrollment by Employer
Tableau
UNOWNED
Computes
Active Membership 601,840 conflict
Member Months 7,184,200 conflict
Reads
employer_groupgroup_structureenrollment_spanmember_master
Premium Billing Reconciliation
Power BI
UNOWNED
Computes
Total Premium Revenue $2.94B conflict
Reads
member_premiumpremium_rate_tableaptc_subsidy
CMS MMR Reconciliation Report
SSRS
UNOWNED
Reads
cms_membership_reconciliationmedicare_entitlementeligibility
Medicaid Redetermination Worklist
Excel ⚠ manual
UNOWNED
Reads
medicaid_eligibility_feedeligibilitymember_master
Dependent Verification Audit
SSRS
UNOWNED
Computes
Dependent Coverage Ratio no value
Reads
dependent_verificationdependentsubscriber
Termination & Reinstatement Summary
Tableau
UNOWNED
Computes
Termination Rate (Annualized) no value
Reads
terminationreinstatementenrollment_span
ID Card Fulfillment SLA
Power BI
UNOWNED
Reads
id_cardid_card_print_queue
Accumulator Drift Audit
Excel ⚠ manual
UNOWNED
Computes
Accumulator Reconciliation Variance no value
Reads
benefit_accumulatoraccumulator_transaction
Eligibility Verification Volume (270/271)
Tableau
UNOWNED
Computes
Eligibility Verification Match Rate no value
Reads
eligibility_verification_logeligibility_response_cache
Open Enrollment Election Tracker
Power BI
UNOWNED
Reads
open_enrollment_periodenrollment_applicationcoverage_tier_assignment
Capitation Roster Drift Report
SSRS
UNOWNED
Reads
capitation_eligibility_rostereligibilitypcp_assignment
Membership Reconciliation Workbook (monthly close)
Excel ⚠ manual
owner: Priya Nandakumar
Computes
Member Months 7,184,200 conflict
Active Membership 601,840 conflict
Total Premium Revenue $2.94B conflict
Reads
member_month_summaryeligibilitymember_premiumcms_membership_reconciliation
Coverage Tenure & Lapse Analysis
Cognos
UNOWNED
Computes
Average Coverage Tenure (months) no value
Reads
enrollment_spanterminationmember_segment
Network Composition Dashboard
Power BI
owner: Renata Volkov
Computes
Active Network Providers no value
PAR Provider Ratio no value
Reads
provider_masternetwork_affiliationnetwork_definitionprovider_specialty
Credentialing Pipeline Tracker
Power BI
owner: Marcus Aldridge
Computes
Credentialing Cycle Time no value
Recredentialing Compliance Rate no value
Reads
provider_credentialingcredentialing_committee_reviewprimary_source_verificationprovider_credentialing_status_history
Recredentialing Due Report
SSRS
UNOWNED
Computes
Recredentialing Compliance Rate no value
Reads
provider_credentialingprovider_licenseprovider_dea_registrationprovider_caqh_profile
Provider Directory Accuracy Scorecard
Tableau
UNOWNED
Computes
Provider Directory Accuracy no value conflict
Reads
provider_directorydirectory_verification_logprovider_locationprovider_geo_coordinate
Network Adequacy Filing (CMS)
Excel ⚠ manual
UNOWNED
Computes
Network Adequacy Pass Rate no value
Reads
provider_network_adequacynetwork_definitionprovider_specialtyprovider_geo_coordinate
Fee Schedule Rate Analysis
Tableau
owner: Priya Nair
Computes
Average Contracted Rate vs Medicare no value conflict
Fee Schedule Load Completeness no value
Reads
fee_schedulefee_schedule_linecontract_rate_schedulemedicare_fee_reference
Allowed Amount Pricing Audit
SSRS
owner: Priya Nair
Computes
Claims PMPM $412.80 conflict
Net Claims Cost $2.71B conflict
Reads
allowed_amount_rulefee_schedule_linecontract_line_itemprocedure_code_reference
Contract Renewal Pipeline
Power BI
owner: Priya Nair
Reads
provider_contractcontract_amendmentprovider_contract_termprovider_termination
Provider Roster Reconciliation
Excel ⚠ manual
UNOWNED
Reads
provider_roster_loadprovider_group_membershipprovider_masternetwork_affiliation
Sanction & Exclusion Monitoring
Cognos
UNOWNED
Computes
Provider Sanction Exposure no value
Reads
provider_sanctionprovider_masternetwork_affiliationprimary_source_verification
Value-Based Contract Performance
Power BI
UNOWNED
Reads
value_based_arrangementprovider_quality_scoreprovider_efficiency_metriccapitation_arrangement
Provider Data Change Aging
SSRS
UNOWNED
Reads
provider_data_change_requestprovider_outreachprovider_masterprovider_audit_trail
PAR/Non-Par Status Reconciliation
Excel ⚠ manual
UNOWNED
Computes
PAR Provider Ratio no value
Reads
provider_par_statusnetwork_affiliationprovider_contractnetwork_tier_assignment
Provider Quality Scorecard
Tableau
UNOWNED
Reads
provider_quality_scoreprovider_efficiency_metricprovider_specialtynetwork_tier_assignment
Fee Schedule Load Exception Report
SSRS
UNOWNED
Computes
Fee Schedule Load Completeness no value
Reads
fee_schedule_load_auditfee_schedule_linefee_scheduleprocedure_code_reference
Provider Remittance Setup Audit
Excel ⚠ manual
UNOWNED
Reads
provider_remittance_configprovider_tin_linkprovider_masterprovider_contract
Daily UM Turnaround & SLA Dashboard
Tableau
owner: Marcus Feldman
Computes
Authorization Turnaround Time (TAT) no value
SLA Compliance Rate no value
Reads
auth_requestauth_determinationsla_eventreviewer_caseload
Prior Authorization Volume & Approval Trend
Tableau
UNOWNED
Computes
Prior Auth Approval Rate no value
Pre-Service Denial Rate no value conflict
Reads
auth_requestauth_determinationauth_linedenial
Denials & Overturn Analysis
Power BI
UNOWNED
Computes
Pre-Service Denial Rate no value conflict
Denial Overturn Rate no value conflict
Reads
denialdenial_rationaleappeal_linkpeer_to_peer_review
Concurrent Review / Inpatient Census
Tableau
UNOWNED
Computes
Average Length of Stay (ALOS) no value
Reads
concurrent_reviewinpatient_staylength_of_stay_benchmark
30-Day Readmission Tracker
Power BI
UNOWNED
Computes
30-Day Readmission Rate no value conflict
Reads
transition_of_careinpatient_stayreadmission_risk_score
Case Management Productivity Report
Power BI
owner: Brenda Okafor
Computes
Case Management Engagement Rate no value
Reads
casecase_assignmentmember_contact_logreviewer_caseload
Disease Management Program Outcomes
Tableau
UNOWNED
Computes
Case Management Engagement Rate no value
Reads
disease_programprogram_enrollmentprogram_metric_resultmember_condition
Care Plan Compliance & Overdue Review List
Excel ⚠ manual
UNOWNED
Computes
Care Plan Currency Rate no value
Reads
care_plancare_plan_goalcare_plan_interventionassessment
Regulatory UM Turnaround Compliance (CMS/State)
SSRS
owner: Marcus Feldman
Computes
SLA Compliance Rate no value
Authorization Turnaround Time (TAT) no value
Reads
sla_eventauth_requestauth_determinationauthorization_letter
Gold-Carding Eligibility Review
Excel ⚠ manual
UNOWNED
Computes
Prior Auth Approval Rate no value
Reads
gold_carding_statusauth_determinationprovider_reference
HRA Completion & Outreach Status
Power BI
UNOWNED
Reads
health_risk_assessmentmember_contact_logmember_demographic_snapshot
Medication Reconciliation Post-Discharge
Cognos
UNOWNED
Reads
medication_reconciliationmember_medicationtransition_of_care
Reviewer Caseload & Capacity Planning
Tableau
owner: Marcus Feldman
Computes
Authorization Turnaround Time (TAT) no value
Reads
reviewer_caseloadum_work_queue_itemauth_determination
PHI Access Audit Report
SSRS
UNOWNED
Reads
um_audit_logclinical_noteauth_note
Referral Leakage & Status Report
Power BI
UNOWNED
Reads
referralreferral_status_historyprovider_reference
Auth-to-Claim Reconciliation
Cognos
UNOWNED
Reads
auth_claim_linkauth_requestauth_line
Care Gap & Suspect Condition Worklist
Excel ⚠ manual
UNOWNED
Computes
Risk Adjustment Factor (RAF) 1.07 conflict
Reads
member_conditionhealth_risk_assessmentassessment
Monthly UM Executive Scorecard
Power BI
owner: Dr. Anita Rao
Computes
Authorization Turnaround Time (TAT) no value
Prior Auth Approval Rate no value
Pre-Service Denial Rate no value conflict
30-Day Readmission Rate no value conflict
Active Membership 598,210 conflict
Reads
auth_requestauth_determinationdenialtransition_of_caremember_eligibility_snapshot
Rx PMPM Trend by Line of Business
Power BI
owner: Priya Nadkarni
Computes
Rx PMPM no value
Net Claims Cost $41.2M/mo conflict
Reads
pharmacy_claim_linerebate_accrualmember_pharmacy_eligibilitydir_fee
Monthly Rebate Accrual & Capture
Power BI
owner: Sofia Reyes
Computes
Rebate Capture Rate no value
Net Claims Cost $41.2M/mo conflict
Reads
rebate_accrualrebate_invoicerebate_paymentrebate_contract_term
Rebate Reconciliation Workbook
Excel ⚠ manual
owner: Sofia Reyes
Computes
Rebate Capture Rate no value
Reads
rebate_invoicerebate_paymentrebate_dispute
Pharmacy MLR Feed to Actuarial
SSRS
UNOWNED
Computes
Medical Loss Ratio (MLR) 14.8% of premium conflict
Net Claims Cost $41.2M/mo conflict
Reads
pharmacy_claim_linerebate_accrualcms_pde_record
Generic Dispensing & MAC Effectiveness
Power BI
owner: Marcus Bell
Computes
Generic Dispensing Rate (GDR) no value
MAC Effectiveness (MAC %) no value
Reads
pharmacy_claim_linendc_drug_masterpricing_adjudication_result
Prior Authorization Operations Dashboard
Power BI
owner: Dr. Lena Okafor
Computes
Prior Auth Approval Rate no value
Reads
prior_auth_requestprior_auth_appealprior_auth_criteria
STAR Adherence (PDC) Gap Report
Tableau
UNOWNED
Computes
Medication Adherence (PDC) no value
Reads
medication_adherence_metricmember_pharmacy_eligibility
Specialty Drug Trend & Pipeline
Tableau
UNOWNED
Computes
Specialty Spend Share no value
Reads
specialty_drug_casepharmacy_claim_linegpi_therapeutic_class
DUR Alert & Override Audit
SSRS
UNOWNED
Reads
dur_alertdur_interaction_masteredit_override
Opioid / Controlled Substance Surveillance
Tableau
UNOWNED
Reads
controlled_substance_logopioid_risk_scoreprescriber_master
FWA Investigation Queue
Power BI ⚠ manual
UNOWNED
Reads
fraud_waste_abuse_flagpharmacy_claim_auditcontrolled_substance_log
CMS PDE Submission & Reject Tracking
SSRS
UNOWNED
Reads
cms_pde_recordpharmacy_claim_header
Pharmacy Network Performance & DIR
Power BI
UNOWNED
Reads
pharmacy_network_affiliationdir_feepharmacy_remittancepharmacy_contract
Formulary Change Impact Analysis
Excel ⚠ manual
UNOWNED
Reads
formulary_change_logformulary_drugpharmacy_claim_line
Copay Accumulator & Maximizer Tracking
Power BI
UNOWNED
Reads
copay_card_offsetpharmacy_benefit_accumulator
Top Drug Spend by GPI (Executive)
Cognos
UNOWNED
Computes
Specialty Spend Share no value
Reads
pharmacy_claim_linendc_drug_mastergpi_therapeutic_class
Pharmacy Claims Reject Analytics
Power BI
UNOWNED
Reads
ncpdp_reject_codepharmacy_claim_header
Quarterly Pharmacy Audit Recovery
Excel ⚠ manual
UNOWNED
Reads
pharmacy_claim_auditpharmacy_remittance
Monthly Premium Billed vs Collected
Power BI
owner: Desmond Achebe
Computes
Total Premium Revenue $3.94B annual conflict
Premium Collection Rate no value
Reads
invoice_headerinvoice_linecash_applicationpremium_receipt
AR Aging Summary (Group & Individual)
Power BI
owner: Desmond Achebe
Computes
Premium AR Aging % > 90 days no value
Days Sales Outstanding (Premium DSO) no value
Reads
ar_aging_snapshotar_balancebilling_account
Active Membership by Plan & Segment
Power BI
owner: Marguerite Vandeveld
Computes
Active Membership 589,400 members conflict
Reads
membership_count_snapshotbilling_member_coveragebilling_plan_ref
Premium Revenue Recognition Roll-forward
Excel ⚠ manual
owner: Hollis Trang
Computes
Total Premium Revenue $3.94B annual conflict
Reads
premium_revenue_recognitioninvoice_linemembership_count_snapshot
Delinquency & Grace Period Watchlist
Power BI
owner: Priya Raman
Computes
Delinquency Rate no value
Reads
delinquency_statusgrace_period_trackingdunning_event
Binder Payment & Effectuation Tracker
Tableau
owner: Priya Raman
Computes
Binder Payment Effectuation Rate no value
Reads
binder_paymentindividual_billing_accountpremium_receipt
Write-off & Bad Debt Reserve Analysis
Excel ⚠ manual
owner: Desmond Achebe
Computes
Write-off Rate no value
Reads
write_offbad_debt_reservecollections_case
Unapplied & Suspense Cash Report
Power BI
UNOWNED
Computes
Unapplied Cash Ratio no value
Reads
premium_receiptsuspense_accountcash_applicationlockbox_transaction
Group Self-Bill Reconciliation Variance
Excel ⚠ manual
UNOWNED
Reads
self_bill_reconciliationgroup_billing_rosterbilling_group_master
CMS APTC/CSR Reconciliation Exception Report
Power BI
owner: Hollis Trang
Reads
cms_payment_reconciliationsubsidy_aptc_detailindividual_billing_account
Medicare Premium & SSA Withhold Reconciliation
SSRS
UNOWNED
Reads
medicare_premium_billingssa_premium_withhold
Daily Cash Application Productivity
Tableau
owner: Desmond Achebe
Reads
cash_applicationlockbox_transactionpremium_receipt
Collections Pipeline & Recovery
Power BI
UNOWNED
Reads
collections_casedunning_eventwrite_off
Termination-for-Nonpayment & Reinstatement Log
SSRS
owner: Priya Raman
Reads
termination_for_nonpaymentreinstatementgrace_period_tracking
Broker Commission Accrual by Premium
Excel ⚠ manual
UNOWNED
Reads
broker_commission_billingbilling_group_masterinvoice_line
Premium Tax & State Assessment Filing
Excel ⚠ manual
owner: Hollis Trang
Reads
premium_tax_assessmentpremium_revenue_recognition
GL Subledger Tie-Out (Billing to GL)
Cognos
owner: Desmond Achebe
Reads
gl_postingar_transactionar_balancesuspense_account
Invoice Dispute & Adjustment Trend
Power BI
UNOWNED
Reads
invoice_disputeadjustment_transactioninvoice_header
Board Financial Package - MLR & Underwriting
Power BI
owner: Marisol Vega
Computes
Medical Loss Ratio (MLR) 86.9% conflict
Combined Ratio no value
Net Claims Cost $2.79B FYTD conflict
Total Premium Revenue $3.21B FYTD conflict
Reads
mlr_calc_worksheetgl_claims_incurred_accrualgl_premium_revenue_recognitiongl_balances
Monthly Close Financial Statements (P&L, Balance Sheet)
Oracle FSG
owner: Devin Rasmussen
Computes
Administrative Expense Ratio no value
Reads
financial_statement_linetrial_balance_snapshotgl_balances
Trial Balance & Close Status Dashboard
Power BI
owner: Patricia Okonkwo
Computes
Days to Close no value
Reads
trial_balance_snapshotclose_task_statusclose_task_master
NAIC Annual Statement (Blue Book)
Cognos ⚠ manual
owner: Marisol Vega
Computes
Risk-Based Capital (RBC) Ratio no value
IBNR Reserve Balance no value
Reads
stat_exhibit_linestat_filing_masterrbc_calculationgl_ibnr_reserve_posting
ACA MLR Rebate Filing Worksheet
Excel ⚠ manual
owner: Marisol Vega
Computes
MLR Rebate Accrual no value conflict
Reads
gl_rebate_accrual_mlrmlr_calc_worksheet
IBNR Reserve Roll-Forward
Excel ⚠ manual
owner: Marisol Vega
Computes
IBNR Reserve Balance no value
Days in Claims Payable (DCP) 47.2 days conflict
Reads
gl_ibnr_reserve_postinggl_claims_incurred_accrual
Premium Revenue Recognition & Membership Tie-Out
Power BI
UNOWNED
Computes
Total Premium Revenue $3.21B FYTD conflict
Member Months 7.04M FYTD conflict
Reads
gl_premium_revenue_recognitionar_premium_receipt_application
AP Aging & Cash Disbursement Forecast
Power BI
owner: Hyun-woo Park
Reads
ap_invoice_headerap_paymentap_claims_disbursement_feed
Bank Reconciliation Exception Report
Excel ⚠ manual
owner: Hyun-woo Park
Reads
ce_bank_statement_linece_reconciliation
Budget vs Actual by Cost Center
Power BI
owner: Patricia Okonkwo
Computes
Administrative Expense Ratio no value
Reads
budget_linegl_balancescost_center_hierarchy
Fixed Asset Depreciation Schedule
Oracle FSG
UNOWNED
Reads
fa_depreciation_detailfa_asset_masterfa_asset_book
Capitation Expense by Provider
Power BI
UNOWNED
Computes
Net Claims Cost $2.79B FYTD conflict
Reads
gl_capitation_expense
Income Tax Provision Pack
Excel ⚠ manual
owner: Marisol Vega
Reads
tax_provision_detailpremium_tax_assessment
Intercompany Out-of-Balance Report
Cognos
UNOWNED
Reads
intercompany_transaction
Suspense & Default-Mapping Exposure Report
Excel ⚠ manual
UNOWNED
Computes
Unapplied Cash no value
Reads
gl_account_mapping_xrefar_premium_receipt_applicationgl_journal_import_interface
Stale Accrual & Manual JE Audit
Power BI
owner: Devin Rasmussen
Reads
accrual_reversal_registermanual_journal_approvalgl_audit_adjustment
RBC & Solvency Trend
Cognos
owner: Marisol Vega
Computes
Risk-Based Capital (RBC) Ratio no value
Reads
rbc_calculationgl_premium_deficiency_reserve
Reinsurance Recoverable Schedule
Excel ⚠ manual
UNOWNED
Computes
Net Claims Cost $2.79B FYTD conflict
Reads
gl_reinsurance_recoverablegl_claims_incurred_accrual
Monthly IBNR Reserve Certification Package
Excel ⚠ manual
owner: Priya Venkataraman
Computes
IBNR Reserve Balance no value
Completion Factor no value
Reads
reserve_run_headerreserve_run_detailcompletion_factor_selectionreserve_signoff
Completion Factor Triangle Workbook
Excel ⚠ manual
UNOWNED
Computes
Completion Factor no value
Reads
completion_factor_trianglecompletion_factor_selection
Actuarial MLR Dashboard
Power BI
UNOWNED
Computes
Medical Loss Ratio (MLR) 86.9% conflict
Claims PMPM $472.18 conflict
Reads
loss_ratio_summaryreserve_run_detailpmpm_actual
Federal MLR Rebate Filing
Excel ⚠ manual
UNOWNED
Computes
Medical Loss Ratio (MLR) 86.9% conflict
Reads
mlr_rebate_calcloss_ratio_summary
RAF Yield & Gap Closure Report
Power BI
owner: Dr. Helen Osei
Computes
Risk Adjustment Factor (RAF) 1.043 conflict
Reads
risk_scorehcc_captureraf_gap_opportunitychart_review_finding
CMS RAF Reconciliation Report
Excel ⚠ manual
UNOWNED
Computes
Risk Adjustment Factor (RAF) 1.043 conflict
Reads
raf_reconciliationrisk_score
Reserve Development / Run-off Triangle
Excel ⚠ manual
owner: Priya Venkataraman
Computes
Reserve Redundancy/Deficiency no value
Reads
reserve_developmentreserve_run_header
Pricing Trend & Assumption Summary
Power BI
UNOWNED
Computes
Loss Ratio Trend no value
Reads
trend_assumptiontrend_studypmpm_actual
Underwriting Pipeline & Decision Log
Tableau
owner: Marcus Bell
Reads
underwriting_caseunderwriting_decisionexperience_rate
Rate Filing Status Tracker
SSRS
UNOWNED
Reads
rate_filingrating_table
High-Cost Claimant & Stop-Loss Watchlist
Power BI
UNOWNED
Reads
high_cost_claimantstop_loss_recoverablelarge_claim_pooling
Member Months & Exposure Reconciliation
Excel ⚠ manual
UNOWNED
Computes
Member Months 7.18M conflict
Reads
member_month_actuarialmembership_projection
Reserve Variance / Actual-to-Expected Analysis
Power BI
UNOWNED
Reads
reserve_variance_analysisreserve_run_detail
Provider Risk Pool Settlement Report
Cognos
UNOWNED
Reads
provider_risk_poolcapitation_actuarialibnr_by_provider
Pharmacy Trend & Rebate Accrual Report
Power BI
UNOWNED
Reads
pharmacy_trend_actuarialrx_rebate_accrual
Experience Study Summary (Lapse/Morbidity)
Excel ⚠ manual
UNOWNED
Reads
experience_studymorbidity_factorcredibility_table
Risk Adjustment Transfer Estimate (ACA)
Excel ⚠ manual
UNOWNED
Computes
Risk Adjustment Factor (RAF) 1.043 conflict
Reads
risk_adjustment_transferrisk_score
Statement of Actuarial Opinion Workpapers
Excel ⚠ manual
owner: Priya Venkataraman
Computes
IBNR Reserve Balance no value
Medical Loss Ratio (MLR) 86.9% conflict
Reads
reserve_signoffreserve_run_headerpremium_deficiency_reserveactuarial_gl_bridge
SIU Monthly Recovery & Savings Scorecard
Power BI
owner: Priya Raman
Computes
Total Recoveries (FWA) no value
Cost Avoidance / Savings no value conflict
Recovery Rate no value conflict
Reads
recoveryoverpaymentsavings_estimaterecovery_transaction
Identified vs Recovered Funnel
Power BI
UNOWNED
Computes
Identified Overpayment Dollars no value
Total Recoveries (FWA) no value
Recovery Rate no value conflict
Reads
overpaymentrecoveryrecoupment_letter
Provider Aberrancy Top 200
Tableau
owner: Dr. Helen Vasquez
Computes
Aberrancy Hit Rate no value
Reads
aberrancy_scorescore_featurebilling_pattern_profileprovider_peer_group
Case Aging & SLA Breach Report
Power BI
UNOWNED
Computes
Case Cycle Time no value
Reads
siu_casesla_trackingcase_status_historycase_assignment
Net Claims Cost After FWA (Finance Reconciliation)
Excel ⚠ manual
UNOWNED
Computes
Net Claims Cost $1.71B conflict
Total Recoveries (FWA) no value
Reads
recoveryrecovery_transactionoverpayment
Investigator Productivity Dashboard
Tableau
UNOWNED
Computes
Case Cycle Time no value
Reads
case_assignmentinvestigatorsiu_caseinvestigation
Pharmacy FWA / Opioid Surveillance
Power BI
UNOWNED
Reads
flagged_pharmacy_claimcontrolled_substance_pattern
Prepayment Edit Effectiveness
Power BI
UNOWNED
Computes
Cost Avoidance / Savings no value conflict
Reads
prepay_editprovider_flagsavings_estimate
Hotline & Referral Triage Log
SSRS
UNOWNED
Reads
referralhotline_tipexternal_referral
Law Enforcement Referral Tracker
Excel ⚠ manual
owner: Priya Raman
Reads
external_referralsiu_caseinvestigation_finding
Sanction & Exclusion Screening Exceptions
SSRS
UNOWNED
Reads
sanction_screeningwatchlistprovider_master
Rule Hit & False-Positive Analysis
Tableau
UNOWNED
Computes
Aberrancy Hit Rate no value
Reads
rule_hitdetection_ruleflagged_claim
Vendor Recovery Performance
Power BI
UNOWNED
Computes
Total Recoveries (FWA) no value
Reads
vendor_recovery_assignmentrecovery_vendoroverpayment
Chart Review Outcomes & Recoupable Dollars
Power BI
UNOWNED
Computes
Identified Overpayment Dollars no value
Reads
chart_reviewmedical_record_requestoverpayment
Network Link Analysis Visualizer
Tableau
UNOWNED
Reads
network_link_analysissiu_subjectprovider_master
Board Anti-Fraud Quarterly Summary
Power BI ⚠ manual
UNOWNED
Computes
Total Recoveries (FWA) no value
Cost Avoidance / Savings no value conflict
Net Claims Cost $1.71B conflict
Reads
recoverysavings_estimateoverpaymentexternal_referral
PHI Access Audit Report
SSRS
UNOWNED
Reads
audit_logcase_evidencesiu_case
Data Mining Yield Report
Excel ⚠ manual
owner: Dr. Helen Vasquez
Computes
Identified Overpayment Dollars no value
Reads
data_mining_queryrule_hitoverpayment
Broker Production Scorecard
Power BI
owner: Priya Raman
Computes
Active Membership 619,400 conflict
Member Persistency Rate no value
Reads
broker_performance_snapshotsold_membership_snapshotbook_of_businesssales_goal
Daily Sales Pipeline Dashboard
Power BI
UNOWNED
Computes
Lead Conversion Rate no value
Reads
leadopportunityquoteapplication
Commission Cycle Reconciliation
Excel ⚠ manual
owner: Marcus Whitfield
Computes
Broker Commission Expense Ratio no value
Total Premium Revenue $3.71B conflict
Reads
commission_statementcommission_linecommission_chargebackoverride_commissionbroker_payment
Sold Membership vs Enrollment Variance
Tableau
UNOWNED
Computes
Active Membership 619,400 conflict
Reads
sold_membership_snapshotbook_of_businessapplication
NPS Trend & Verbatim Analysis
Tableau
owner: Dana Olsen
Computes
Net Promoter Score (NPS) no value
Reads
nps_responsenps_surveymember_interaction
Campaign ROI & Attribution Report
Power BI
owner: Dana Olsen
Computes
Marketing Cost Per Acquisition (CPA) no value conflict
Reads
campaigncampaign_responsecampaign_attributioncampaign_member
Lead Source Performance Report
Power BI
UNOWNED
Computes
Lead Conversion Rate no value
Marketing Cost Per Acquisition (CPA) no value conflict
Reads
leadlead_sourcelead_activityapplication
Retention & Churn Risk Report
Tableau
UNOWNED
Computes
Book-of-Business Retention Rate no value
Reads
retention_casechurn_predictionrenewalbook_of_business
Broker Commission Statement (broker-facing)
SSRS
owner: Marcus Whitfield
Computes
Broker Commission Expense Ratio no value
Reads
commission_statementcommission_linecommission_chargebackbroker_payment
Agency Hierarchy & Override Report
Excel ⚠ manual
UNOWNED
Reads
agency_masterbroker_agency_affiliationoverride_commissionbroker_master
Quote-to-Close Funnel
Power BI
UNOWNED
Computes
Lead Conversion Rate no value
Reads
quotequote_lineopportunityapplicationapplication_status_history
Group Renewal Pipeline
Excel ⚠ manual
UNOWNED
Computes
Member Persistency Rate no value
Reads
renewalgroup_accountgroup_contactsold_membership_snapshot
Broker Licensing & Appointment Compliance
SSRS
UNOWNED
Reads
broker_licensebroker_appointmentbroker_credentialingbroker_master
Executive Sales & Distribution Review
Power BI
UNOWNED
Computes
Active Membership 619,400 conflict
Total Premium Revenue $3.71B conflict
Broker Commission Expense Ratio no value
Reads
broker_performance_snapshotsold_membership_snapshotcommission_statementcampaign_attribution
Member CRM Engagement Report
Tableau
UNOWNED
Reads
member_crm_profilemember_interactionemail_engagementmember_consent
Marketing Consent & Suppression Audit
Excel ⚠ manual
UNOWNED
Reads
member_consentcampaign_memberemail_engagement
Territory Coverage & Capacity Report
Cognos
UNOWNED
Reads
territorybroker_territory_assignmentbroker_mastersales_goal
CMS Part C Reconsideration Universe (Table 1)
SSRS
owner: Priya Raman
Computes
Appeals Timeliness Rate no value
Overturn Rate no value
Reads
appeal_casedeterminationtimeliness_clockcms_universe_export
CMS Part D Coverage Determination & Appeals Universe
SSRS
owner: Priya Raman
Computes
Appeals Timeliness Rate no value
Reads
appeal_caseappeal_pharmacy_linktimeliness_clockcms_universe_export
Daily Timeliness At-Risk Worklist
Power BI
owner: Dana Okafor
Computes
Appeals Timeliness Rate no value
Expedited Appeal Compliance Rate no value
Reads
timeliness_clocktimeliness_pausecase_assignmentappeal_case
Overturn Root-Cause Analysis
Power BI
UNOWNED
Computes
Overturn Rate no value
Reads
determinationoverturn_reasonappeal_claim_linkappeal_auth_link
Grievance Category Trend Dashboard
Power BI
UNOWNED
Computes
Grievance Timeliness Rate no value
Active Membership 4.7 conflict
Reads
grievance_caseappeal_classificationcms_category_ref
STARS Appeals Measure Pack (D-AM, C-AM)
Tableau
UNOWNED
Computes
Overturn Rate no value
Appeals Timeliness Rate no value
Reads
appeal_casedeterminationtimeliness_clockiro_referral
Monthly Compliance Timeliness Scorecard
Excel ⚠ manual
owner: Priya Raman
Computes
Appeals Timeliness Rate no value
Grievance Timeliness Rate no value
Acknowledgement Letter Timeliness no value
Reads
timeliness_clockacknowledgement_lettersla_breach_event
SLA Breach & Self-Disclosure Log
Excel ⚠ manual
owner: Dana Okafor
Computes
Appeals Timeliness Rate no value
Reads
sla_breach_eventtimeliness_clockappeal_case
IRO / Level 2 Outcome Summary
SSRS
UNOWNED
Computes
Overturn Rate no value
Reads
iro_referraldeterminationappeal_level_history
ALJ & Higher-Level Appeals Tracker
Excel ⚠ manual
UNOWNED
Reads
alj_hearingappeal_level_historyappeal_case
Analyst Productivity & Queue Aging
Power BI
owner: Dana Okafor
Reads
case_assignmentag_analystappeal_casegrievance_case
CTM Complaint Reconciliation
Cognos
UNOWNED
Computes
Grievance Timeliness Rate no value
Reads
category_ii_complaint_linkgrievance_casecomplaint_intake
State DOI Complaint Response Tracker
Excel ⚠ manual
UNOWNED
Computes
Grievance Timeliness Rate no value
Reads
state_complaint_referralgrievance_case
Quality-of-Care Referral Pipeline
Tableau
UNOWNED
Reads
quality_of_care_referralgrievance_caseappeal_provider_link
Appeals Financial Impact (Overturn Recovery)
Power BI
UNOWNED
Computes
Overturn Rate no value
Reads
determinationappeal_claim_linkoverturn_reason
Expedited Appeals Real-Time Monitor
Power BI
UNOWNED
Computes
Expedited Appeal Compliance Rate no value
Reads
appeal_casetimeliness_clockcase_assignment
Reopening & Reconsideration Activity Report
SSRS
UNOWNED
Reads
reopening_requestappeal_casedetermination
A&G Volume per 1000 Members Trend
Tableau
UNOWNED
Computes
Active Membership 4.7 conflict
Reads
appeal_casegrievance_casemember_demographic
Monthly Headcount & Turnover Dashboard
Power BI
owner: Priya Raman
Computes
Total Headcount no value
Voluntary Turnover Rate no value conflict
Full-Time Equivalent (FTE) no value
Reads
headcount_snapshotterminationemployee_masterdepartment
Payroll Register
SSRS
UNOWNED
Computes
Total Labor Cost no value
Reads
payroll_runpayroll_detailpayroll_earningpayroll_deductionpayroll_tax
Labor Cost by Cost Center
Power BI
owner: Marcus Bell
Computes
Total Labor Cost no value
Reads
labor_cost_allocationpayroll_detaildepartment
Compensation Benchmarking Workbook
Excel ⚠ manual
owner: Marcus Bell
Computes
Average Base Salary no value conflict
Reads
compensationpay_gradesalary_survey_marketjob_code
Annual Merit & Bonus Planning Model
Excel ⚠ manual
UNOWNED
Computes
Average Base Salary no value conflict
Reads
compensationcompensation_historybonus_planbonus_award
Recruiting Funnel & Time-to-Fill
Tableau
owner: Elena Cho
Computes
Time to Fill no value
Offer Acceptance Rate no value
Reads
requisitioncandidateapplicationinterviewoffer
Open Requisitions Aging
Power BI
owner: Elena Cho
Computes
Time to Fill no value
Reads
requisitionapplicationdepartment
Benefits Enrollment Summary
Power BI
UNOWNED
Computes
Benefits Participation Rate no value
Reads
benefit_enrollmentbenefit_plan_offeringbenefit_dependentemployee_master
Open Enrollment Election Audit
Excel ⚠ manual
UNOWNED
Computes
Benefits Participation Rate no value
Reads
benefit_enrollmentbenefit_plan_offeringemployee_master
Time & Attendance Exceptions
SSRS
UNOWNED
Computes
Overtime Hours Ratio no value conflict
Reads
time_entrytimesheetpto_balance
Overtime Trend Report
Power BI
UNOWNED
Computes
Overtime Hours Ratio no value conflict
Reads
timesheettime_entrydepartment
EEO-1 Component Report
Cognos ⚠ manual
UNOWNED
Computes
Total Headcount no value
Reads
employee_masteremployee_demographicjob_codedepartment
Mandatory Training Compliance Scorecard
Power BI
UNOWNED
Computes
Mandatory Training Compliance no value conflict
Reads
training_completiontraining_courseemployee_masterlicense_certification
Performance Calibration Distribution
Tableau
owner: Priya Raman
Reads
performance_reviewperformance_goalemployee_master
Succession & Talent Risk Heatmap
Excel ⚠ manual
UNOWNED
Reads
succession_planperformance_reviewpositionemployee_master
Contingent Workforce Spend
Power BI
UNOWNED
Computes
Total Labor Cost no value
Reads
contingent_workerlabor_cost_allocationdepartment
Leave & FMLA Tracking Report
SSRS
UNOWNED
Reads
leave_of_absencepto_balancepto_requestemployee_master
Quarterly Workforce Analytics Pack
Power BI
UNOWNED
Computes
Total Headcount no value
Voluntary Turnover Rate no value conflict
Full-Time Equivalent (FTE) no value
Average Base Salary no value conflict
Reads
headcount_snapshotterminationcompensationperformance_reviewdepartment
Board MLR Dashboard (monthly)
Tableau ⚠ manual
UNOWNED
Computes
Medical Loss Ratio (MLR) 86.4% conflict
Reads
mart_mlr_summarymart_revenue_monthlyfact_ibnr_reserve
Executive KPI Scorecard
Power BI ⚠ manual
UNOWNED
Computes
Medical Loss Ratio (MLR) 86.4% conflict
Active Membership 601,240 conflict
Total Premium Revenue $3.91B conflict
Claims PMPM $452.10 conflict
Reads
mart_executive_kpimart_membership_monthlymart_revenue_monthly
Membership Trend Report
Tableau
UNOWNED
Computes
Active Membership 601,240 conflict
Member Months 7,210,800 conflict
Reads
mart_membership_monthlysnapshot_membership_daily
Membership Reconciliation (Finance vs EDW)
Excel ⚠ manual
UNOWNED
Computes
Active Membership 601,240 conflict
Member Months 7,210,800 conflict
Reads
mart_membership_monthlyfact_premiumfact_enrollment_span
Premium Revenue Recognition Report
Power BI
UNOWNED
Computes
Total Premium Revenue $3.91B conflict
Reads
mart_revenue_monthlyfact_premium
Revenue Bridge (Billed-Collected-Earned)
Excel ⚠ manual
UNOWNED
Computes
Total Premium Revenue $3.91B conflict
Reads
mart_revenue_monthlyfact_premium_billing
Claims PMPM Trend
Tableau
UNOWNED
Computes
Claims PMPM $452.10 conflict
Reads
mart_claims_pmpmfact_claim
PMPM by Plan & LOB
Power BI
UNOWNED
Computes
Claims PMPM $452.10 conflict
Reads
mart_claims_pmpmmart_utilization_summary
MLR Regulatory Filing Workbook
Excel ⚠ manual
owner: Dana Okafor
Computes
Medical Loss Ratio (MLR) 86.4% conflict
Net Claims Cost $3.32B conflict
Reads
mart_mlr_summaryfact_ibnr_reservemart_revenue_monthly
Days in Claims Payable Tracker
Excel ⚠ manual
UNOWNED
Computes
Days in Claims Payable (DCP) 41.2 days conflict
Reads
fact_dcp_calcfact_claim
Net Claims Cost Summary
Cognos
UNOWNED
Computes
Net Claims Cost $3.32B conflict
Reads
mart_finance_pnlfact_claimmart_pharmacy_summary
Risk Adjustment RAF Dashboard
Tableau
owner: Dana Okafor
Computes
Risk Adjustment Factor (RAF) 1.084 conflict
Reads
mart_risk_adjustmentfact_risk_score
STARS Performance Dashboard
Power BI
UNOWNED
Computes
Star Rating 4.0 conflict
Reads
mart_stars_summaryfact_quality_measure
HEDIS Gap Closure Report
Tableau
UNOWNED
Reads
fact_care_gapfact_quality_measure
Pharmacy Spend & Rebate Report
Power BI
UNOWNED
Computes
Pharmacy Net Cost PMPM no value
Reads
mart_pharmacy_summaryfact_pharmacy_rebate
Provider Network Adequacy Report
Tableau
UNOWNED
Computes
Provider Network Adequacy % no value
Reads
bridge_member_pcpbridge_provider_networkmart_provider_performance
Provider Performance Scorecard
Power BI
UNOWNED
Reads
mart_provider_performancefact_provider_contract
Appeals & Grievances Summary
Cognos
UNOWNED
Computes
Appeal Overturn Rate no value
Reads
mart_appeals_summaryfact_appealfact_grievance
SIU Fraud Recovery Report
Power BI
UNOWNED
Computes
Fraud Recovery Rate no value
Reads
mart_fraud_recoveryfact_fraud_case
Finance P&L by LOB
Cognos ⚠ manual
UNOWNED
Computes
Net Claims Cost $3.32B conflict
Total Premium Revenue $3.91B conflict
Underwriting Margin % no value
Reads
mart_finance_pnlfact_gl_balance
Utilization Management Dashboard
Tableau
UNOWNED
Reads
mart_utilization_summaryfact_authorizationfact_admission
Inpatient & Readmission Report
Power BI
UNOWNED
Reads
fact_admissionfact_er_visit
Broker Commission Statement
Excel ⚠ manual
UNOWNED
Reads
mart_broker_commissionfact_sales_pipeline
Sales Pipeline Forecast
Power BI
UNOWNED
Reads
fact_sales_pipelinedim_group
Quarterly Board Deck (KPI pack)
Excel ⚠ manual
UNOWNED
Computes
Medical Loss Ratio (MLR) 86.4% conflict
Active Membership 601,240 conflict
Total Premium Revenue $3.91B conflict
Claims PMPM $452.10 conflict
Days in Claims Payable (DCP) 41.2 days conflict
Star Rating 4.0 conflict
Reads
mart_executive_kpimart_mlr_summarymart_membership_monthlymart_revenue_monthly
Statutory Reporting Pack
Cognos ⚠ manual
owner: Dana Okafor
Computes
Medical Loss Ratio (MLR) 86.4% conflict
Net Claims Cost $3.32B conflict
Days in Claims Payable (DCP) 41.2 days conflict
Reads
fact_gl_balancemart_mlr_summaryfact_ibnr_reservefact_dcp_calc
Membership Census by Geography
Tableau
UNOWNED
Computes
Active Membership 601,240 conflict
Reads
snapshot_membership_dailydim_geography
Revenue PMPM Cross-tab
Excel ⚠ manual
UNOWNED
Computes
Total Premium Revenue $3.91B conflict
Member Months 7,210,800 conflict
Reads
mart_revenue_monthlymart_membership_monthly
Care Management ROI Report
Power BI
UNOWNED
Reads
fact_care_managementfact_claim
Workforce Cost Allocation Report
Cognos
UNOWNED
Reads
fact_workforce_headcountdim_cost_centerfact_gl_balance
Data Quality Exception Report
Power BI
owner: Marcus Bell
Reads
data_quality_logetl_load_audit
ETL Load Monitoring Dashboard
Tableau
owner: Marcus Bell
Reads
etl_job_runetl_load_audit
Trended MLR & Membership (ad hoc Excel)
Excel ⚠ manual
UNOWNED
Computes
Medical Loss Ratio (MLR) 86.4% conflict
Active Membership 601,240 conflict
Member Months 7,210,800 conflict
Reads
mart_mlr_summarymart_membership_monthly
Stars Executive Dashboard
Power BI
owner: Priya Raghavan
Computes
Star Rating 3.5 conflict
HEDIS Measure Rate no value
Reads
contract_star_ratingmeasure_star_assignmentmeasure_rate_result
Weekly Gap Closure Tracker
Power BI
UNOWNED
Computes
Open Gaps in Care no value
Reads
gap_in_caregap_closure_activitymember_gap_summary
HEDIS Rate Trend Workbook
Excel ⚠ manual
owner: Priya Raghavan
Computes
HEDIS Measure Rate no value
Reads
measure_rate_resultmeasure_benchmark
Star What-If Simulator
Excel ⚠ manual
UNOWNED
Computes
Star Rating 3.5 conflict
Reads
star_what_if_scenariostar_cut_pointmeasure_star_assignment
Medication Adherence PDC Report
Power BI
UNOWNED
Computes
Medication Adherence (PDC ≥80%) no value
Reads
pharmacy_measure_event
CAHPS / HOS Survey Results
Tableau
UNOWNED
Computes
CAHPS Composite Score no value
Reads
cahps_composite_resultcahps_item_scorehos_survey_result
Provider Quality Scorecards (VBC)
Power BI
UNOWNED
Computes
HEDIS Measure Rate no value
Reads
provider_quality_scorecardprovider_measure_attributionprovider_incentive_payment
IDSS Submission Package
SSRS
owner: Dana Whitfield
Computes
HEDIS Measure Rate no value
Reads
regulatory_submissionidss_audit_resultmeasure_rate_result
Submission Validation Error Log
SSRS
owner: Dana Whitfield
Reads
submission_validation_errorregulatory_submission
Chart Chase Inventory
Power BI
UNOWNED
Reads
chart_chasemedical_record_reviewhybrid_sample
Supplemental Data Yield Report
Tableau
owner: Marcus Idowu
Computes
HEDIS Measure Rate no value
Reads
supplemental_data_recordsupplemental_data_sourcemeasure_numerator
Denominator Reconciliation (Membership)
Excel ⚠ manual
UNOWNED
Computes
Member Months 7.05M conflict
HEDIS Measure Rate no value
Reads
measure_denominatormember_measure_eligibility_xref
Health Equity Stratification Report
Tableau
UNOWNED
Computes
HEDIS Measure Rate no value
Reads
member_risk_segmentmeasure_rate_result
HEDIS Engine Run Audit Log
Power BI
owner: Marcus Idowu
Reads
measure_run_batchmeasure_data_lineagedata_quality_finding
QRS Marketplace Rating Summary
SSRS
UNOWNED
Computes
HEDIS Measure Rate no value
Reads
qrs_marketplace_resultmeasure_rate_result
Intervention Campaign ROI
Excel ⚠ manual
UNOWNED
Computes
Open Gaps in Care no value
Reads
intervention_campaigncampaign_member_enrollmentgap_closure_activity
Improvement Measure Movement
Power BI
UNOWNED
Computes
Star Rating 3.5 conflict
Reads
improvement_measure_calcmeasure_star_assignment
Provider Incentive Payout Reconciliation
Excel ⚠ manual
UNOWNED
Reads
provider_incentive_paymentprovider_quality_scorecard