URAC Pharmacy and Health Plan Data Validation


URAC Pharmacy Audit

To obtain URAC accreditation, pharmacy organizations are required to report quality measures in their second year of accreditation. In 2016, the reporting process was subject to required data validation. Attest was the only URAC-approved independent third-party measure data validator for this first year of validation. Pharmacy Organizations include: PBMs, Mail Service Pharmacies, Specialty Pharmacies, Community Pharmacies and DTM Programs. The data validation will ensure comparability across organizations and improve the reliability of the data. Improved data reliability will enable public reporting of organization quality metrics.


The validation will include a source systems review, source code review and validation sampling. A one day site visit will be required in the first year of the validation cycle. Attest will evaluate the data accuracy of the quality measures being reported. If inaccuracies are found, the organization will have the opportunity to rectify the situation and resubmit for final reporting. This will be a concurrent validation that starts when the reporting window is open.

Attest employs a collaborative process and we are committed to maintaining ongoing communication with you to ensure the most accurate results. With open communication, we are able to minimize any challenges or surprises and keep a transparent audit process. Our goal is to make your audit as smooth as possible and include you in the process every step of the way.

Attest is a URAC-Approved Independent third-party measure data validator. For more information or to be added to the distribution list for updates, please contact: Karen Magill (karen.magill@attesthealth.com)


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