Use these fields to define payment terms for a contract of agreement type Percentile
Care Fee Agreement. This agreement type supports the Percentile-Based payment type in which
providers are paid based on the percentile range for that member. Each percentile range has a fee
that is determined by factors such as the member's age.
Required Editions
|
Available in: Lightning Experience
Available in: Enterprise and Unlimited Editions with Health
Cloud
|
| Field |
Description |
|---|
| Contract Payment Agreement |
The related contract payment agreement record. |
| Procedure Code |
The industry standard code for the procedure, such as CPT or HCPCS. |
| Procedure Code Description |
The description of the procedure code. |
| First Bracket Price |
The price for the procedure if the member falls into the first percentile bracket
based on the payer's determining factor. |
| Second Bracket Price |
The price for the procedure if the member falls into the second percentile bracket
based on the payer's determining factor. |
| Third Bracket Price |
The price for the procedure if the member falls into the third percentile bracket
based on the payer's determining factor. |
| Fourth Bracket Price |
The price for the procedure if the member falls into the fourth percentile bracket
based on the payer's determining factor. |
| Fifth Bracket Price |
The price for the procedure if the member falls into the fifth percentile bracket
based on the payer's determining factor. |
| Bracket Information |
The description of the percentile bracket information. |
| Standard Price |
The standard price for the procedure defined by the governing body. |
| Relative Value Unit |
The relative value unit for the procedure. |
