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
Published Fields
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Data Model Keys
- Claim ID
- Patient ID
- Payor ID
- Source ID
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Date Fields
- Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
- Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
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Denominator Fields
- Count of Claim Service Line Items
-
Numerator Fields
- Count Claim Service Line Items with Positive Plan Paid Amount
-
Measure Fields
- Denominator