Anomaly Report

Detected anomalies for run 20260123_110159_Rb5Vko

40
High Severity
20
Medium Severity
0
Low Severity
60
Total Anomalies
Denominator Shifts 20 items
Severity Entity Description
HIGH P00286 Attributed lives changed by 242.9% from 7 to 24
HIGH P00066 Attributed lives changed by 241.7% from 12 to 41
HIGH P00219 Attributed lives changed by 230.0% from 10 to 33
HIGH P00235 Attributed lives changed by 214.3% from 7 to 22
HIGH P00125 Attributed lives changed by 211.1% from 9 to 28
HIGH P00138 Attributed lives changed by 200.0% from 8 to 24
HIGH P00119 Attributed lives changed by 200.0% from 6 to 18
HIGH P00092 Attributed lives changed by 200.0% from 6 to 18
HIGH P00103 Attributed lives changed by 194.7% from 19 to 56
HIGH P00205 Attributed lives changed by 190.9% from 11 to 32
Understanding Anomaly Types
Denominator Shifts

Detected when a practice's attributed member count changes by more than 20% month-over-month. May indicate data issues, contract changes, or provider movement.

Utilization Spikes

Flagged when ED utilization rates exceed 2 standard deviations from the practice's trailing 6-month average. May indicate coding changes, patient population shifts, or quality concerns.

Claims Lag

Identified when a practice's most recent month claims volume is below 85% of their historical average. May indicate claims processing delays or incomplete data.

Known Outliers

Pre-identified practices with expected anomalous patterns. These are tracked for monitoring purposes and flagged when their metrics exceed expected thresholds.