Skip to Main Content

You are using an outdated browser. Please upgrade your browser to improve your experience.

2025 Medicare Part C & Part D Reporting Requirements & Data Validation

Data Extraction Process Detail

Evaluating the Data

The DVC confirms each reporting section’s full census or sample data against the Standards/Sub-standards. Validation Standard 2 in the EES includes specific validation checks that need extracted data.

Validation Standard 2

Database Extraction Function: Review of source data, preliminary data sets, and interim data sets (for example, programming code, spreadsheet formulas, analysis plans, saved data queries, file layouts, process flows) shows the following:

Criteria for Validating Standards/Sub-Standards:

  1. SOs accurately identify, process, and verify the population for each reporting section (including calculations for the number of members, claims, grievances, procedures, etc.). They apply QA checks/thresholds to detect outlier or erroneous data.