Quarterly Eligible Amount and Discount Comparison
The Quarterly Eligible Amount and Discount Comparison report will compare Eligible Amount and Discounts against quarterly intervals.
Generating the Report
Note
Once selected, the report will update automatically with the metrics specified.
In the Report Navigation Menu, click Quarterly Comparison.
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.
Quarterly Eligible Amount and Discount Comparison Explained
The Quarterly Eligible Amount and Discount Comparison report features three Bar charts. At the top left of each bar chart, you will find a legend that shows what years each bar represents; the most recent years is always to the right of the stack. 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: Comparing eligible amounts year over year for each quarter.
Gross Discount %: Comparing percentage of gross discount among eligible amount year over year for each quarter.
Gross Discount Amount: Comparing total dollar amount of Network provided discounts year over year for each quarter.