URSA-CORE-931: Zero-Cost Professional Service Line Items

Measure Description

Among professional billing or claims service line items from sources with line-level financial data coverage, the percentage with zero-dollar or missing allowed and paid amounts

Metadata

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

Denominator Description

Professional billing or claims service line items

Numerator Description

Denominator observations with missing or zero-valued line allowed amount, line plan paid amount, line COB paid amount, and line patient paid amount.