Audited Data Submission to TransUnion
During the audited data submission, both health plans and self-reporting provider organizations (POs) submit auditor-reviewed data for use in the AMP programs. Here are deadlines to note when submitting this data to TransUnion:
- April 30 – Review Your Data: If you are a PO that chooses to self-report AMP results, please review your submissions carefully. Make sure you’ve included all the measures you’ve chosen to report (including e-measures) and double-checked your data for accuracy.
- May 1 – Send Your Data to Your Auditor: Health plans and self-reporting POs must send their data files to auditors for review before final submission to TransUnion. Note: No audit is required for AMP Commercial ACO results.
- May 8 – Submit Your Data to TransUnion: Health plans and self-reporting POs must submit their auditor-locked results to TransUnion. May 8 is also the deadline for POs who only submit e-measure data for use in AMP Commercial HMO.
Health Plan Data Submission to Onpoint
Onpoint uses data submitted by health plans to generate AMP results not included in the audited submission, such as utilization and total cost of care measures. Health plans are required to submit the following files to Onpoint:
- April 30: Final medical and pharmacy claims files due
- May 22: Final cost file due
- May 25: Final lab file due