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New Care Gap Report available on Document Exchange

December 1, 2017

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Independence recently created a new report that will help primary care providers quickly identify members who are due to receive certain preventive services, based on Independence claims data.

Report contents

The Care Gap Report is an Excel document that contains the following worksheets:

  • Summary. This worksheet provides a high-level overview of your practice?s current compliance rate for each service, as well as the total number of Independence members in your practice who meet the measure criteria.
  • Remaining Gaps Per Measure. This worksheet provides you with the total number of Independence members in your practice per measure where a gap in care has been identified. The Member gap detail section provides a list of those members who are missing service(s), which are indicated with an ?X?. If there are no members in need of the service, a ?0? will be displayed. If no members met the criteria to be included in a measure, it will be left blank.

    Note: This worksheet is designed so you can easily create filters in the Member gap detail section to sort the member information by any of the columns (i.e., member name or specific measure).

Providers are encouraged to download this report and use it as a tool to assist with appointment scheduling and to ensure patients are receiving the services indicated to close the identified care gaps.

Accessing the report

Practice-specific reports are now available on the NaviNet® web portal through Document Exchange. New reports will be available monthly from February through November. A message will be posted on Independence NaviNet Plan Central to advise you when the reports are made available.

Your practice?s designated NaviNet Security Officer must grant access to the Patient Roster Report Document Category for all users within the practice who need to view these reports via Document Exchange. Once you have been given access, select Practice Documents from the Workflows menu, and then select your practice?s reports. You will be able to view and/or download the reports. For detailed instructions, the Document Exchange Guide is available in the NaviNet Resources section. If you have any questions on how to log in and use Document Exchange, contact the eBusiness Hotline at 215-640-7410.

If you have any questions or concerns regarding the reports, please contact your Network Medical Director.

NaviNet is a registered trademark of NaviNet, Inc., an independent company.

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