Patient List

A patient list is a select group of static claims. During the modeling process you must select a patient list to re-calculate against the selected contract profile.

You can generate or attach a patient list at one of the following levels:

• Model document level – Applies the patient list to all scenarios in the model document
• Scenario level – Only applies the patient list to the scenario in which it is selected

Note: You can generate or attach a patient list only at the model document level.

See the following for additional information:

• Patient List by Contracts, Products or Plan Names

• Patient List Source

• Patient List Estimation

Additional modeling features provide 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.

See Manage Models and Patient Lists for additional information.