Details - Providers Breakdown
The Details - Providers Breakdown report is an in-depth look at metrics for all states, including a Bar Chart of all Providers, ranked by Eligible Amount in descending order.
Generating the Report
Note
Once selected, the report will update automatically with the metrics specified.
In the Report Navigation Menu, click Details - Providers Breakdown.
In the Right Side Filters panel, select if you want to include claims that have been Denied.
N: Do not include denied claims.
Y: Include denied claims.
Verify that your company name is selected in the Client Name filter. It will be checked by default.
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.
If applicable, refine the data results by Network. Data will appear for rectangles that are black. Clicking a rectangle deselects it.
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)
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.
Details - Providers Breakdown Explained
The Details - Providers Breakdown report features a Bar chart and a Metrics table. The following section provides details for each of these elements.
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)
Provider Names by Eligible Amount: A list of all providers sorted by eligible amount from highest to lowest.
Selecting a provider will filter the following visualizations to that specific provider:
Metric by Years/Quarters/Months
Metric by Years/Quarters/Months: A more detailed view of providers and the claims associated to them.