The CSV format will include more data elements and improve data exchange requirements
Effective June 6, 2025, Wellcare will implement updates to provider admit, discharge and transfer (ADT) reports to help providers and improve the reporting data results. This change will enable physicians and other providers currently not receiving ADT reports to sign up and receive these reports in real time. ADT reports include inpatient (IP)/emergency room (ER) and alternate contact information.
Improvements to ADT reports
The upcoming changes are as follows:
- Format of report will change from an Excel file to a comma-separated values (CSV) file for data exchange.
- New fields will be added to the reports to alert/flag sensitive measures.
- The format change will significantly improve the reliability of the reports and ensure they are consistently formatted across providers. These changes should help providers receive the reports in a timely manner.
Benefits of ADT reports
The reports help providers with the following:
- Alert providers about a patient's status change.
- Ensure timely care coordination.
- Ensure compliance with data exchange requirements.
- Provide outreach and case management to members discharged from acute care.
- Follow up after an emergency department visit for mental illness (FUM). Follow up after an emergency department visit for alcohol and other drug abuse or dependence (FUA).
- Provides information on care gap opportunities, as well as insights into physicians’ and other providers’ performance on key quality measures compared to national benchmarks and the Health Net network.
- The data are also used to engage with members to help improve member health outcomes.
How to access the reports
Health Net posts the ADT IP/ER and alternate contact reports daily on Cozeva®. The reports are also available through an SFTP site at www.SFTP.centene.com.
If you would like to receive these ADT reports -- IP/ER and alternate contact – on an ongoing basis, please contact your Plan provider engagement account executive or supervisory medical director.
Sign up with Cozeva
Cozeva is a reporting and analytics platform that allows physicians and other providers to better monitor and take action on care gaps for quality and risk measures. Cozeva makes it easy for your care team to track your performance on a near real-time basis and address and close care gaps for patients. There is no cost to providers and no limit to the number of accounts you can create for your practice! Sign up with Cozeva at www.cozeva.com/registerHN.
Questions?
If you have questions retrieving the reports off the SFTP or Cozeva sites, please contact your Plan provider engagement account executive or supervisory medical director.
Additional information
If you have questions regarding the information contained in this update, contact 1-866-999-3945.
