You can use the filters at the top of the page to focus on preferred organization providers, physicians, or calendar years. This report allows you to evaluate the exposure to each payer network, based on the amounts billed. This report allows you to compare the overall payments claimed by primary care physicians and to check how they are covered by the billed amounts.Ĭost by Payer Network - Lists the total billed amount for each payer network. This report helps you visualize the care settings that generate the largest claims.Ĭlaim payments by PCP - Graphical representation of the claimed payment amounts and billed amounts by primary care physician. This report helps you visualize the procedures that generate the largest claims.Ĭlaim payments by care setting - Graphical representation of the claim payment amounts for each case setting. This report allows you to drill down to the payments claimed for each member.Ĭlaim payments by procedure - A graphical representation of the weight each procedure has in the overall payments claimed. The distribution between emergency and inpatient members also helps to understand the associated costs.Ĭlaim payments by member - A tabular report that lists all members and their claim payments. This report helps you understand the costs that primary care physicians generate through the average monthly cost per member and the total number of members assigned. High Cost Members by Primary Care Physician. The distribution between emergency and inpatient members also helps to understand the associated costs. This report helps you understand the PMPM costs that attributed physicians generate through the average monthly cost per member and the total number of members assigned. High Cost Members by Attributed Physician.
It also allows you to evaluate your total costs and the cost of a typical procedure.
This report allows you to see the average monthly costs per member and their distribution between medical and drug PMPM costs. PMPM overall, medical and drug cost in dollars, overall dollars spent, and average cost per procedure. You can use the filters at the top of the page to focus on specific payers, organizations, insurance program types, and calendar years.
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