URSA-PHF-R10: Registry of Claim Service Financials

Measure Description

One record per pharmacy claim, medical claim, or medical claim service line item with a non-zero allowed or paid amount; this object contains line-level data for patient-source pairs in which claims data from that source include line-level paid amounts, and header-level data otherwise; only records (of any grain) with a non-zero allowed amount, plan paid amount, or patient paid amount field will be included.

Metadata

• Measure Type: Registry
• Temporal Structure: Event
• Component Class: Normal-Form
• Denominator Case Field: Document ID
• Target Direction: None

Related Key Concepts

None.

FAQs

None.