Data Errata for HEDIS® Data Submission

The data errata is a list of self-reported errors that were identified by organizations after the HEDIS data re-submission deadline of June 30th. Per NCQA’s HEDIS Volume 2, “organizations must immediately report any error in a measure rate or in its component (in any previous submission, regardless of timing) that is >5% higher or lower than what was reported originally.”

Errors are reviewed by NCQA to assess the impact to NCQA products and programs, including but not limited to Health Plan Ratings, Quality Compass and Accreditation. If the impact is determined to be significant, NCQA will notify customers via the data errata page and potential other avenues of communication such as the Quality Compass homepage.

Depending on the significance and scope of the error, NCQA takes the necessary actions. This data errata page lists the reported errors so that users of NCQA’s programs and products can see the description and resolution and consider any implications to their use of the data.

Note: The data errors listed below reflect corrections reported within the last four measurement years only.

Date ReportedHEDIS Measurement YearOrg IDOrganization NameProduct LinesMeasure NameDescription of ErrorResolution
6/9/20252023132Kaiser Foundation Health Plan Inc. - Southern CaliforniaExchangeINR - International Normalized Ratio Monitoring for Individuals on WarfarinErroneous logic resulted in over reporting of performanceDue to assessed level of impact, no product updates were made.
5/17/20252023192Health New EnglandExchangeMultiple Measure Indicators were impacted by this data error.Erroneous logic resulted in a combination of overreported and underreported performance rates.Due to assessed level of impact, no product updates were made.
5/16/20252023192Health New EnglandCommercialMultiple Measure Indicators were impacted by this data error.Erroneous logic resulted in a combination of overreported and underreported performance rates.Due to assessed level of impact, no product updates were made.
4/8/20252023284953Blue Cross and Blue Shield of Montana, a Division of Health Care Service Corporation (FEP)CommercialStatin Therapy for Patients With Diabetes - Received Statin Therapy (SPD)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
3/12/20252023Multiple OrgIDsMultiple Orgs in the Aetna Family were impacted by this data errorMedicareFollow-Up After Emergency Department Visit for People With Multiple High-Risk Chronic ConditionsErroneous logic resulted in a combination of overreported and underreported performance rates.Due to assessed level of impact and timing of notification, no product updates were made.
2/27/20252023Multiple OrgIDsMultiple Orgs in the Aetna Family were impacted by this data errorMedicare, ExchangePlan All-Cause ReadmissionsErroneous logic resulted in a combination of overreported and underreported performance rates.Due to assessed level of impact and timing of notification, no product updates were made.
6/13/2024202270731Sutter Health PlusCommercial FUH- Follow-Up After Hospitalization For Mental Illness - 7 daysErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/13/2024202270731Sutter Health PlusCommercial FUH - Follow-Up After Hospitalization For Mental Illness - 30 daysErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/13/2024202270731Sutter Health PlusCommercial FUA - Follow-Up After Emergency Department Visit for Substance Use - 7 daysErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/13/2024202270731Sutter Health PlusCommercial FUA - Follow-Up After Emergency Department Visit for Substance Use - 30 daysErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/13/2024202270731Sutter Health PlusCommercial FUM - Follow-Up After Emergency Department Visit for Mental Illness - 7 daysErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/13/2024202270731Sutter Health PlusCommercial FUM - Follow-Up After Emergency Department Visit for Mental Illness - 30 daysErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
6/13/2024202270731Sutter Health PlusCommercial PCE - Pharmacotherapy Management of COPD Exacerbation - BronchodilatorErroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/13/2024202270731Sutter Health PlusCommercial PCE - Pharmacotherapy Management of COPD Exacerbation - Systemic CorticosteroidErroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/9/20242022522756Hamaspik Inc.MedicareUOP - Use of Opioids From Multiple Providers - Multiple Prescribers and Multiple PharmaciesErroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/8/20242022522756Hamaspik Inc.MedicareUOP - Use of Opioids From Multiple Providers - Multiple PrescribersErroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/7/20242022522756Hamaspik Inc.MedicareUOP - Use of Opioids From Multiple Providers - Multiple PharmaciesErroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/6/20242022522756Hamaspik Inc.MedicareHDO - Use of Opioids at High DosageErroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
6/9/20242022522756Hamaspik Inc.MedicareHDO - Use of Opioids at High DosageErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
5/17/20242022285649Molina Healthcare of New York, Inc.Commercial AAB - Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
5/17/20242022285649Molina Healthcare of New York, Inc.Commercial CWP - Appropriate Testing for Pharyngitis (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
5/17/20242022285649Molina Healthcare of New York, Inc.Commercial URI - Appropriate Treatment for Upper Respiratory Infection (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.Commercial FUI- Follow-Up After High-Intensity Care for Substance Use Disorder - 30 Days (Total)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.Commercial FUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 7 Days (Total)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.Commercial FUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 30 Days (18-64)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.Commercial FUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 7 Days (18-64)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.MedicareFUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 30 days (Total)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.MedicareFUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 7 Days (Total)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.MedicareFUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 30 days (18-64)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.MedicareFUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 7 Days (18-64)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.MedicareFUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 30 days (65+)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
4/30/20242022127Kaiser Foundation Health Plan of the Northwest, Inc.MedicareFUI - Follow-Up After High-Intensity Care for Substance Use Disorder - 7 Days (65+)Erroneous logic resulted in under reporting of performance.Due to assessed level of impact, no product updates were made.
3/1/202420221508Security Health Plan of Wisconsin, IncMedicaidPharmacotherapy Management of COPD Exacerbation - Bronchodilator (PCE)Erroneous logic resulted in underreporting of performance.Due to assessed level of impact, no product updates were made.
3/1/202420221508Security Health Plan of Wisconsin, IncMedicaidPharmacotherapy Management of COPD Exacerbation - Systemic Corticosteroid (PCE)Erroneous logic resulted in underreporting of performance.Due to assessed level of impact, no product updates were made.
3/1/202420221508Security Health Plan of Wisconsin, IncMedicaidStatin Therapy for Patients With Diabetes (SPD)Erroneous logic resulted in underreporting of performance.Due to assessed level of impact, no product updates were made.
3/1/202420221508Security Health Plan of Wisconsin, IncMedicaidFollow-Up After Hospitalization For Mental Illness - 7 days (Total) (FUH)Erroneous logic resulted in underreporting of performance.Due to assessed level of impact, no product updates were made.
3/1/202420221508Security Health Plan of Wisconsin, IncMedicaidFollow-Up After Hospitalization For Mental Illness - 7 days (18-64) (FUH)Erroneous logic resulted in underreporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial FUH -Follow-Up After Hospitalization For Mental Illness - 30 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial FUH - Follow-Up After Hospitalization For Mental Illness - 7 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial PRS-E - Prenatal Immunization Status - InfluenzaErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial PRS-E - Prenatal Immunization Status - Combination Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial CIS - Childhood Immunization Status - InfluenzaErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial IMA - Immunizations for Adolescents - Combination 1Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial HBD - Hemoglobin A1c Control for Patients With Diabetes - HbA1c Control (<8%)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial EED - Eye Exam for Patients With DiabetesErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial PPC - Prenatal and Postpartum Care - Timeliness of Prenatal CareErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial CIS-E - Childhood Immunization Status - InfluenzaErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/20242022144CareFirst BlueChoiceCommercial IMA-E - Immunizations for Adolescents - Combination 1Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial AMM - Antidepressant Medication Management - Effective Continuation Phase TreatmentErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial ADD -Follow-Up Care for Children Prescribed ADHD Medication - Continuation and Maintenance PhaseErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial FUH -Follow-Up After Hospitalization For Mental Illness - 30 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial FUH - Follow-Up After Hospitalization For Mental Illness - 7 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial FUA - Follow-Up After Emergency Department Visit for Substance Use - 30 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial FUA - Follow-Up After Emergency Department Visit for Substance Use - 7 days (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial APP - Use of First-Line Psychosocial Care for Children and Adolescents on Antipsychotics (Total)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial ADD-E -Follow-Up Care for Children Prescribed ADHD Medication - Continuation and Maintenance PhaseErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS - Childhood Immunization Status - Diptheria, Tetanus, Acellular PertussisErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS - Childhood Immunization Status - Polio VaccineErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS - Childhood Immunization Status - Haemophilis Influenza Type B (HIB B)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS - Childhood Immunization Status - Pneumococcal ConjugateErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS - Childhood Immunization Status - RotavirusErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial HBD - Hemoglobin A1c Control for Patients With Diabetes - HbA1c Control (<8%)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial BPD - Blood Pressure Control for Patients With DiabetesErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial EED - Eye Exam for Patients With DiabetesErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial PPC - Prenatal and Postpartum Care - Timeliness of Prenatal CareErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS-E - Childhood Immunization Status - Diptheria, Tetanus, Acellular PertussisErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS-E - Childhood Immunization Status - Polio VaccineErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS-E - Childhood Immunization Status - Haemophilis Influenza Type B (HIB B)Erroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS-E - Childhood Immunization Status - Pneumococcal ConjugateErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
1/10/202420221880Group Hospitalization and Medical Services, Inc. (GHMSI)Commercial CIS-E - Childhood Immunization Status - RotavirusErroneous logic resulted in over reporting of performance.Due to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidFollow-Up After Emergency Department Visit for Substance Use - 30 days (FUA)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidFollow-Up After Emergency Department Visit for Substance Use - 7 days (FUA)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidFollow-Up After High-Intensity Care for Substance Use Disorder - 30 Days (FUI)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidFollow-Up After High-Intensity Care for Substance Use Disorder - 7 Days (FUI)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidInitiation and Engagement of Substance Use Disorder Treatment - Initiation of SUD Treatment (IET)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
11/27/202320221800Community Health GroupMedicaidInitiation and Engagement of Substance Use Disorder Treatment - Engagement of SUD Treatment (IET)Under reporting of denominator resulted in audit designation of NA instead of performance rateDue to assessed level of impact, no product updates were made.
10/12/2023202221588Kansas Medicaid Health Plan (Sunflower Health Plan)MedicaidRisk of Continued Opioid Use ->=15 Days (65+) (COU)Erroneous logic resulted in underreporting of performance.Due to the assessed level of impact, no product updates were made.
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