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| Introduction |
The Monthly Rate Code
Summary provides a report for the Health Plan of
the total dollar amounts by contract type, rate
code, and county.
The Monthly Rate Code Summary provides a
view of the capitation paid for each rate code for
the prospective month's capitation.
The Monthly Rate Code Summary can also be
used to reconcile against the Weekly HIPAA 820 TCS.
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| Schedules |
The following table
outlines schedules for the Monthly Rate
Code Summary process.
Processing
requirement |
Schedule |
| Monthly Rate Code Summary files |
are created and
available on the AHCCCS Communications
server at
approximately the same time as the
Monthly Enrollment Notification file
File is named ccyymm.SUM and is available in the
plan’s folder under AZ/hpmnemonic/PROD/OUT |
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| Media |
Monthly Rate Code Summary is available on the
AHCCCS FTP server.
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| Testing |
Monthly 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 |
Monthly
Rate Code Summary Layout
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| Notes |
Monthly Rate Code
Summary files are retained on the AHCCCS computer
server for one month.
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