View the TRICARE (Hospice) Expected Reimbursement Detail
Use the following procedure to view the TRICARE Hospice 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 TRICARE Hospice account. For more information, refer to View the Expected Reimbursement Details .
- Review the expected reimbursements.
Field Descriptions—TRICARE Hospice Accounts
The following table describes each of the fields on the Expected Reimbursement Detail page for TRICARE Hospice claims. The fields are listed in alphabetical order.
|
Field |
Description |
|
Error Code |
Reason for rejection or return (claim level), if applicable |
|
Reimbursement Type |
Reimbursement type |
|
Revenue Code XXX Base Rate |
The base fee schedule rate for the specified revenue code |
|
Revenue Code XXX Subtotal |
The combined fee schedule reimbursement for all occurrences of the specified revenue code on the account |
|
Total Expected Reimbursement |
Total expected reimbursement on the claim |
|
No. |
Sequential reference number of the line item |
|
Service Date |
Date the service was rendered |
|
Revenue Code |
Associated revenue code |
|
CPT Code |
Associated CPT code |
|
Billed Units |
Number of units billed |
|
Billed Charges |
Total billed charges for the revenue/CPT code for a specific service date |
|
Allowed Units |
Number of units allowed by reimbursement logic |
|
Rate |
The base fee schedule rate |
|
Expected Payment |
The calculated reimbursement based on the predefined contract terms and conditions and service type definitions in the system and the repriced claims data |