Cost Data Filtering Process

Summary

Summary

During a search, when a service is selected it is going through a series of filters (listed below). Note that this was discussed originally in the Roundtable on Testing and Triage.

  • Service to Place of Service (POS) filter - is the POS supported in List of Services?
  • Specialty to POS filter - is POS Allowed?
  • Service to Specialty Filter - is Specialty Allowed?
  • Billing Class Match Provider Type?
  • 400 Result Filter - Is provider/rate present in the 400?
  • Rate Record Match to Provider Data?
  • Result Set - Provider Rates