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Why is the data on the dental eligibility roster different from what is on the monthly Aetna DMO active patient roster?

April 26, 2017active Aetna Data dental different DMO eligibility patient roster

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Why is the data on the dental eligibility roster different from what is on the monthly Aetna DMO active patient roster?

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A. The two reports are not identical. They are generated from different Aetna-internal systems and produced on different schedules, so they do not reflect the same point-in-time view of the membership. The Aetna DMO active patient roster is supporting documentation for the provider’s monthly compensation report; the ANSI 271 dental eligibility roster is a point-in-time view of membership associated with an individual dental provider/ PCD.