Analyze Payor Mapping

Use the Payor Mapping Analysis page to examine payor code mapping (and possible missing links between products and payor codes).

  1. To access the Payor Mapping Analysis page, select Go To > Implementation > Payor Code Definitions > Payor Mapping Analysis.
  2. Specify the search criteria.
    • A larger date range results in more data to analyze, but generally, select a date range that you expect to yield a representative sample of claim volumes and/or billed charges.
    • If it takes more than thirty seconds to yield results, the system times out and a message asks you to select a smaller date range and try again.
  3. Click Display Claim Volume. The results are displayed for the selected date range and options.

The following table describes the fields on the Payor Mapping Analysis page.

Field

Description

# of Claims

Number of claims for the payor

Date Range

Range of dates searched

End Date

Last date in the date range of the date type selected

Billed Charges

Total charges for the account

No.

Sequential reference number in the list

Payor Code

Payor code associated with the product

Product

Name of the insurance product

Product Match

The product match indicator, where X means no match and a check mark means the payor code is matched to a product

Product Term

The TAC document in the system

Product Term Effective Date

The effective date of the terms

Stage

The implementation stage

Start Date

First date in the date range of the date type selected

Status

The status of the implementation stage (unless the implementation stage is complete, in which case, the status is “Production”)