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| Introduction |
The Daily Capitation
Notification process (HIPAA 820) also creates the
Daily Rate Code Summary.
The Rate Code Summary provides a formatted
report file for the Health Plan of the total
dollar amounts by contract type, rate code, and
county. The
Daily Rate Code Summary provides a view of the
amounts paid for each rate code of the next
prospective month's capitation.
The Daily Rate Code Summary can also be
used to reconcile against the Daily HIPAA 820 TCS.
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| Schedules |
The following table
outlines schedules for the Daily Rate Code
Summary.
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Processing
requirement
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Schedule
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| Daily Rate Code Summary files |
are created and
available on the AHCCCS Communications
server at
approximately the same time as the Daily
Capitation Notification file (HIPAA
820). |
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| Media |
Daily Rate Code Summary is available on the
AHCCCS communications server.
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| Testing |
Daily Rate Code Summary transmissions must be
tested in coordination with the AHCCCS ISD
operations staff prior to production
implementation of a new Health Plan; change in
service bureau, or as a result of roster changes.
Typical testing of file transmissions takes
approximately one week and must be completed prior
to implementation of any new processing
arrangement.
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| Reference
documents |
Daily
Rate Code Summary Layout
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| Notes |
Daily Rate Code
Summary file is created as a formatted report, not
a data file.
Daily Rate Code Summary files are retained on the
AHCCCS computer server for one week.
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