Medication Reconciliation Report

Medication Reconciliation Report - Data Specification Document
File Name	Medication Reconciliation Report
File Accessibility	Available through the Outcomes Client Reporting Platform to authorized Client users.
Last Updated	11/02/2026
Data Refresh Frequency	Near Real Time
Purpose	Provide claim-level details for completed medication reconciliation services following a transition of care.
Intended Use	Support payer quality review, service monitoring, transition-of-care analysis, medication-change review, and patient or prescriber summary-delivery oversight.

Element Number	Report Tab	Element name on report	Business Definitions	Example	Historical Mapping
1	Medication Reconciliation Details	Claim ID	Unique claim identifier tied to the medication reconciliation service.	4564861	Client and Internal.
2	Medication Reconciliation Details	MTM Service Date	Date the medication reconciliation result was determined.	06/05/2026	Client and Internal.
3	Medication Reconciliation Details	Discharge Date	Date the patient was discharged from the facility.	06/01/2026	Client and Internal.
4	Medication Reconciliation Details	Discharging Provider	Provider associated with the patient discharge.	Jordan Smith, MD	Client and Internal.
5	Medication Reconciliation Details	Discharging Facility	Facility from which the patient was discharged.	Example Medical Center	Client and Internal.
6	Medication Reconciliation Details	Inpatient Diagnosis	Diagnosis documented during hospitalization.	Heart failure	Client and Internal.
7	Medication Reconciliation Details	Primary Care Physician	Primary care physician from the TOC source or workflow.	Taylor Morgan, MD	Client and Internal.
8	Medication Reconciliation Details	Post-Discharge Location	Patient location following discharge.	Home	Client and Internal.
9	Medication Reconciliation Details	Source of Discharge Medication List	Source selected for the discharge medication list.	Specialist	Client and Internal.
10	Medication Reconciliation Details	Number of New Medications	Count of medications marked Start.	2	Client and Internal.
11	Medication Reconciliation Details	Number of Continued Medications	Count of medications marked Continue.	6	Client and Internal.
12	Medication Reconciliation Details	Number of Discontinued Medications	Count of medications marked Stop.	1	Client and Internal.
13	Medication Reconciliation Details	PCP Status	Answer to whether the patient has a PCP.	Yes	Client and Internal.
14	Medication Reconciliation Details	Name of PCP	PCP name documented in the workflow.	Taylor Morgan, MD	Client and Internal.
15	Medication Reconciliation Details	Appointment Scheduled	Indicates whether PCP follow-up was scheduled.	Yes	Client and Internal.
16	Medication Reconciliation Details	Appointment Date	Date of the PCP follow-up appointment.	06/12/2026	Client and Internal.
17	Medication Reconciliation Details	Member ID	Identifier for the eligible member.	983138517	Client and Internal.
18	Medication Reconciliation Details	Patient First Name	Patient first name.	MAXWELL	Client and Internal.
19	Medication Reconciliation Details	Patient Last Name	Patient last name.	PIPER	Client and Internal.
20	Medication Reconciliation Details	Patient DOB	Patient date of birth.	01/15/1955	Client and Internal.
21	Medication Reconciliation Details	Patient Gender	Patient gender value in the source data.	Not specified	Client and Internal.
22	Medication Reconciliation Details	CMS Contract	CMS contract under which the patient is enrolled.	H1234	Client and Internal.
23	Medication Reconciliation Details	Program Name	Program associated with the service.	OhioRise	Client and Internal.
24	Medication Reconciliation Details	Client ID	Outcomes client identifier.	234	Client and Internal.
25	Medication Reconciliation Details	Client Name	Client associated with the service.	Express Scripts	Client and Internal.
26	Medication Reconciliation Details	Policy ID	Outcomes payer group identifier.	2061	Client and Internal.
27	Medication Reconciliation Details	Policy Name	Outcomes payer group name.	Aetna - Stars	Client and Internal.
28	Medication Reconciliation Details	TIP Identification Number	Unique identifier assigned to the TIP.	TIP-12345	Client and Internal.
29	Medication Reconciliation Details	TIP Title	Title describing the TIP protocol.	Needs Medication Reconciliation	Client and Internal.
30	Medication Reconciliation Details	Opportunity Create Date	Date the TIP opportunity was created.	02/01/2026	Client and Internal.
31	Medication Reconciliation Details	Status	Claim status.	Approved	Client and Internal.
32	Medication Reconciliation Details	Counseled Heart Failure	Yes/No confirmation that heart-failure counseling was reviewed.	Yes	Client and Internal.
33	Medication Reconciliation Details	Counseled COPD	Yes/No confirmation that COPD counseling was reviewed.	No	Client and Internal.
34	Medication Reconciliation Details	Delivery Method	Service delivery method selected in the workflow.	Phone	Client and Internal.
35	Medication Reconciliation Details	Prescriber Summary Delivery Date	Date selected for prescriber summary delivery.	06/05/2026	Client and Internal.
36	Medication Reconciliation Details	Prescriber Summary Additional Notes	Additional notes documented for the prescriber summary.	Faxed to PCP office	Client and Internal.
37	Medication Reconciliation Details	Patient Summary Delivery Date	Date selected for patient summary delivery.	06/05/2026	Client and Internal.
38	Medication Reconciliation Details	Patient Summary Additional Notes	Additional notes documented for the patient summary.	Provided electronically	Client and Internal.
39	Medication Reconciliation Details	Recipient Patient Summary	Recipient of the patient summary.	Patient	Client and Internal.
40	Medication Reconciliation Details	Med Rec Recipient	Recipient of the medication reconciliation service.	Patient	Client and Internal.
41	Medication Reconciliation Details	Submitted Date	Date the claim was initially submitted.	06/05/2026	Client and Internal.
42	Medication Reconciliation Details	Service Provider License Number	License number of the service provider.	RPH123456	Client and Internal.
43	Medication Reconciliation Details	Service Provider Name	Name of the service provider.	Alex Morgan	Client and Internal.
44	Medication Reconciliation Details	Service Provider Role	Role of the service provider.	Pharmacist	Client and Internal.
45	Medication Reconciliation Details	Pharmacy Organization Name	Pharmacy organization associated with the service.	Albertsons	Client and Internal.
46	Medication Reconciliation Details	Chain Name	Pharmacy chain associated with the service.	Safeway	Client and Internal.
47	Medication Reconciliation Details	NCPDP	NCPDP identifier for the pharmacy center.	999104	Client and Internal.
48	Medication Reconciliation Details	Pharmacy Organization Type	Classification of the pharmacy organization.	Network	Client and Internal.

Medication Reconciliation Report - Data Specification