Patient Lists

A patient list is a selected group of static claims. The Advanced Contract Modeling feature provides a variety of criteria you can use to select the claims to include in a given patient list. That patient list can then be attached to a specific model so that the claims in the patient list can be repriced against specified contract profiles.

You can create a patient list based on one of the following types of data:

• Bills – Data that has been charge-compiled (claims that have been grouped together by account) and includes critical changes (changes made directly to the claim or account).
• Claims – Original claim data directly from the data source.
• Canary Claims – Fictional claims you can use for modeling purposes. For more information, refer to Canary Claims.