MacroHealth Internal

At a Glance

The At a Glance report is a one-pager that provides information on how the MacroHealth Solution is performing on key metrics across the board.

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Generating the Report

Note

Once selected, the report will update automatically with the metrics specified.

  1. In the Report Navigation Menu, click At a Glance.

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  2. In the Right Side Filters panel, select if you want to include claims that have been Denied.

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  3. Verify that your company name is selected in the Client Name filter. It will be checked by default.

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  4. Using the Left Side Filters, select a Date Range. In the first field choose a start date and in the second field, an end date.

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  5. If applicable, refine the data results by Network. Data will appear for rectangles that are black. Clicking a rectangle deselects it.

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  6. Choose for which Service Type you want the data to be displayed:

    • Inpatient: medical claims from institutions that require overnight hospitalization (e.g., hospitals)

    • Outpatient: medical claims from institutions that do not require overnight hospitalization (e.g., ambulatory care)

    • Professional: medical claims from professionals (e.g., individual doctor's office)

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  7. Using the State dropdown menu, choose which State(s) you want the report displayed for. Data will appear for States that have a black square. Click to deselect. It is possible to select more than one State.

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At a Glance Report Explained

The At a Glance report features Percentages, a Bar graph, Donut charts, and a Line chart. The following section provides details for each of these elements.

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Note

Billed Amount, Eligible Amount, Discount Amount, and Claim Count are visualized based on a claim's last processed date. (For a more detailed explanation see Section : “The Reports page)

  1. Claims Count: Total number of claims that have been processed

  2. Eligibility Rate: Percentage of eligible amount among billed amount (Eligible amount / Billed amount)

  3. Bar graph:

    • Billed Amount: Total dollar amount of processed claims

    • Eligible Amount: Total eligible portion of processed claims.

    • Gross Amount: Total dollar amount of Network provided discounts

  4. Gross Discount %: Percentage of gross discount among eligible amount (Gross Discount / Eligible Amount)

  5. Donut charts:

    • Claims Count by Network: Percentage breakdown of claims by Network

    • Billed Amount by Network: Percentage breakdown of billed amount by Network

    • Eligible Amount by Network: Percentage breakdown of eligible amount by Network

    • Gross Discount Amount by Network: Percentage breakdown of gross discount by Network

  6. Billed Amount, Eligible Amount and Discount Amount Trending: A view of the above metrics over time to identify peaks and valleys, as well as, differences between these metrics.