Eligible Amount and Discount Trending
The Eligible Amount and Discount Trending report features insights on the Eligible Amount and Discount trends.
Generating the Report
Note
Once selected, the report will update automatically with the metrics specified.
In the Report Navigation Menu, click Eligible Amount and Discount Trending.
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)
Eligible Amount and Discount Trending Report Explained
The Eligible Amount and Discount Trending report features a Bar/line chart, a Line chart, and a Bar chart. 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)
Eligible Amount and Claims Count Trending: Comparing eligible amount by service types and claim count volume over time.
Gross Discount % Trending: Percentage of gross discount among eligible amount over time.
Gross Discount Amount Trending: Total dollar amount of Network provided discounts over time.