Reports · regulatory · outbound submissions
Reports & submissions
Outbound regulatory traffic — CMS OAP files (ACCESS), MIPS quality measures, claims batches to clearinghouse, IHS/VA exchange files, and audit-ready exports. Pairs with audit log for full chain of custody.
PY 2026 · YTD outbound
142 submissions
28 OAP · 4 MIPS · 60 claims batches · 18 VA · 32 IHS · all chains verified
Acceptance · YTD
96.4%
▲ 1.8 vs PY 2025
Pending fix
14
routed to attestation
Next deadline
22d
OAP-26-05 · May 31
Revenue impact · YTD
$1.84M
target $2.21M
PY 2026 · monthly submission cadence
JAN
1,361
accepted
FEB
1,380
+14 resub
MAR
1,392
99.6%
APR
1,408
100%
MAY
1,420
draft · due 31
JUN
—
Q2 close
JUL
—
MIPS Q2 due
AUG
—
SEP
—
Q3 close
OCT
—
MIPS Q3 due
NOV
—
DEC
—
PY close
All 142
CMS · OAP 28
MIPS 4
Claims 60
VA · DAS 18
IHS · RPMS 32
PY · 2026 (current)
Recent submissions last 30 days · all payers
Sort: most recent ↓
Batch · target
Period · payer
Records
Status
OAP-26-05
CMS ACCESS · all 4 tracks · queued
May 2026
CMS · due 06-30
1,420
draft
Draft
BIM-2026-05-A
May claims batch 1 · clearinghouse
May 1–7
Multi-payer
218
$124,800
Accepted
VA-DAS-2026-W19
DAS exchange · weekly outcomes
Week 19
VA · auto · 06:00 Mon
2,184
veterans
Accepted
OAP-26-04
CMS ACCESS · all 4 tracks
April 2026
2026-05-01 14:22Z
1,408
100% accepted
Accepted
MIPS-2026-Q1
CMS QPP · Q1 quality measures
Q1 2026
CMS QPP · 2026-04-15
12
measures
Accepted
IHS-RPMS-2026-04
SRPMIC · 638 contract · monthly
April 2026
IHS RPMS · 2026-05-02
412
beneficiaries
Accepted
BIM-2026-04-D
April claims batch 4 · clearinghouse
Apr 22–30
Multi-payer
298
$184,200
Partial reject
CMS-CCM-MMR-04
CCM minutes report · monthly
April 2026
CMS · 2026-05-01
418
enrolled
Accepted
OAP-26-02b
Feb 2026 · resubmit (PHQ-9 corrections)
Feb 2026 rev
2026-03-12 16:08Z
14
corrections
Accepted
MIPS-2026-Q2
CMS QPP · Q2 quality measures (in progress)
Q2 2026
CMS QPP · due 07-15
12
measures
In progress
VA-DAS-2026-W18
DAS exchange · weekly outcomes
Week 18
VA · 2026-04-29
2,178
veterans
Accepted
IHS-RPMS-2026-04 · GRIC
Gila River · IHS direct · monthly
April 2026
IHS RPMS · 2026-05-02
386
beneficiaries
Queued
Showing 12 of 142 · Show all PY 2026
MIPS · 2026 final score (projected)
82.4/100
Exceptional · positive payment adj
Track to exceed 75-point exceptional threshold for the 6th consecutive year. Estimated payment adj +1.84% on Medicare Part B claims.
Quality measures
30%
28.4 / 30
Promoting interoperability
25%
22.8 / 25
Improvement activities
15%
15.0 / 15
Cost
30%
16.2 / 30
Cost category lagging due to high-acuity case mix; explore IRIS analysis to identify cost drivers and address before Q3 close.
Acceptance rate · by payer · YTD
CMS · OAP / ACCESS
28 batches · 39,892 records
96.4%
Multi-payer · claims
60 batches · 18,400 claims
98.7%
VA · DAS
18 weekly · 39,288 events
99.9%
IHS · RPMS
32 monthly · 14 tribal entities
100%
CMS · MIPS
4 quarterly
100%
Upcoming deadlines · 90d
OAP-26-05 build
CMS ACCESS · all 4 tracks
May 31
BIM-2026-05-B
May claims batch 2
May 14
VA-DAS-2026-W20
Weekly auto · Mon 06:00
May 12
IHS-RPMS-2026-05
Monthly · all entities
Jun 02
MIPS-2026-Q2 submit
CMS QPP
Jul 15
CMS-CCM-MMR-05
CCM minutes report
Jun 02
Audit-ready exports · ad hoc
PHI access log · 90d
CSV · for SRA review
Care plan amendments · 12mo
CSV · with diffs
BHI minutes ledger · YTD
XLSX · per patient
Consent inventory
all enrolled · CCM/APCM/BHI
Tribal data sovereignty report
14 tribal entities · DSA status
Custom export…
SQL · scheduled email
All exports cryptographically signed, logged in audit log, and retained 7 years per HIPAA §164.312.