View the Cost-Based (Per Diem) Psych Expected Reimbursement Detail
Use the following procedure to view the Cost-Based (Per Diem) Psych Expected Reimbursement Detail.
Note: If the Expected Reimbursement Detail is incomplete, click a Service Type link.
Procedure
- Access the Expected Reimbursement Detail page for a Psych Per Diem account. For more information, refer to View the Expected Reimbursement Details .
- Review the expected reimbursements.
- Optionally, you can perform the following actions:
- Click Reimbursement to display the View Contract Profile page. For more information, refer to View a Contract Profile.
- Click All IP to display the service types on the View Contract Profile page. For more information, refer to View a Contract Profile.
- Click View in the Calculation Details column. The Calculation Details page opens. For more information, refer to View Expected Reimbursement Calculation Details.
Field Descriptions – Cost-Based (Per Diem) Psych
The following table describes each of the fields on the Expected Reimbursement Detail page for Cost-Based (Per Diem) Psych claims. The fields are listed in alphabetical order.
|
Field |
Description |
|
Covered Days |
Number of covered days |
|
Error Code |
Reason for rejection or return, if applicable |
|
Per Diem |
Per diem amount |
|
Reimbursement Type |
Reimbursement type, either expected reimbursement or RA, if applicable (the latest RA is shown if there are multiple RAs) |
|
Remittance Advice Payment Code Definitions |
Definitions of Remittance Advice Payment Codes listed |
|
Total Expected Reimbursement |
The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data |