URSA-CORE-906: Professional Claims with Single Paid Line Item
  • 28 Aug 2023
  • 1 Minute to read
  • Dark
    Light

URSA-CORE-906: Professional Claims with Single Paid Line Item

  • Dark
    Light

Article summary

Measure Description

Among professional claims with at least one line item with a positive plan paid amount and 4 or more lines, the percentage with exactly one line item with a positive plan paid amount.

Metadata

  • Measure Type: Rate Measure
  • Temporal Structure: Event
  • Component Class: Normal-Form
  • Denominator Case Field: Claim ID
  • Target Direction: Down

Denominator Description

Professional claims with at least one line item with a positive plan paid amount and 4 or more lines

Numerator Description

Denominator observations with exactly one line item with a positive plan paid amount


Was this article helpful?