User Reference Guide - Cost & Utilization Reports
This section contains the User Reference Guide for Clinigence Analytics - Cost & Utilization Reports.
Tracking members with pharmacy gaps allows for the entity to engage patients that are out of compliance with filling prescriptions. Target Audience for ...
Fri, 28 Feb, 2020 at 2:33 PM
This is a comprehensive report describing OB services for the members. Key metrics are provided for trending; VBAC (vaginal birth after C-section), Vaginal,...
Wed, 19 Aug, 2020 at 3:30 PM
This report provides detail on the all the care events during a member’s pregnancy. It should be noted that depending on the detailed reporting period, ges...
Fri, 28 Feb, 2020 at 2:38 PM
The Medical Claims Detail by PCP report is designed to show medical claims detail based on the combination selected PCP Group in the PCP Groups panel and th...
Fri, 28 Feb, 2020 at 2:40 PM
The Medical Claims Detail by Servicing Provider report is designed to show medical claims detail based on the combination selected Servicing Provider in the...
Fri, 28 Feb, 2020 at 2:41 PM
This report is designed to show where a client has member/patient leakage. This report can also be used with capitated contracts. Target Audience ...
Fri, 28 Feb, 2020 at 2:42 PM
This comprehensive report offers analysis of Evaluation and Management 4/5 level by member, provider, specialty, and type of service over specified time per...
Fri, 28 Feb, 2020 at 2:43 PM
This report categories Procedure (CPT and HCPCS) codes by Category, Sub-Category, PCP and Patients. This allows for review of utilization and cost by bille...
Fri, 28 Feb, 2020 at 3:13 PM