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    URSA-PHF-013: Plan Paid Per Clinician Office Visit
    • 27 Apr 2023
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    URSA-PHF-013: Plan Paid Per Clinician Office Visit

    • Updated on 27 Apr 2023
    • 1 Minute to read
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    Article summary

    Measure Description

    Among clinician office visits with a positive plan paid amount for the encounter, the average plan paid per encounter across claim financials.

    Metadata

    • Measure Type: Rate Measure
    • Temporal Structure: Event
    • Component Class: Long-Form
    • Denominator Case Field: Visit Encounter ID
    • Target Direction: Down

    Denominator Description

    One record per clinician office visit with a positive plan paid or allowed amount.

    Numerator Description

    The total plan paid amount across pharmacy, medical claim, or medical claim service line items associated with the clinician office visit; includes documents with a positive plan paid amount.

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