View the Ohio Medicaid Outpatient Expected Reimbursement Detail

Use the following procedure to view the Ohio Medicaid Outpatient Expected Reimbursement Detail.

The following table describes the fields on the Expected Reimbursement Detail page for Ohio Medicare Outpatient claims.

Field	Description
Error Code	Reason for rejection or return, if applicable
NPI	Facility’s ten-digit National Provider Identification (NPI) number required on all claims
Effective Date	Effective date of the current contract rates
Grouper Type	The actual grouper type used for this outpatient calculation.
Grouper Version	The current version used in this outpatient calculation.
Base Rate	Factor assigned by state for individual hospitals to be used in the total expected calculation.
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.
Reimbursement Type	Reimbursement type, either expected reimbursement or RA, if applicable (the latest RA is shown if there are multiple RAs)
Service Date	Date the service was rendered
Revenue Code	Revenue code
HCPC/CPT Code & Modifier	Associated CPT or HCPC codes and modifiers billed to the account
Billed Charges	Amount of charges covered by Medicaid.
Billed Units	Number of units billed
Allowed Units	Number of units allowed by reimbursement logic.
Final EAPG	The EAPG that the CPT code on each the line was grouped to.
EAPG Weight	The weight assigned to each EAPG by the grouper.
Final EAPG Type	Displays the final EAPG type
Expected Percent	Displays the expected percent
Pricing Percent	Displays the pricing percent
Edit Code	The code for Procedure, Revenue Code, or Relationship edits for not processing claim line.
EAPG Description	Description of the EAPG.