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ClaimsComparisonDiff

The relative absolute difference between the payer and claims-observed rates. Null when there is no verified dollar-to-dollar claims match.
ClaimsComparisonDiffS
DescriptionThe relative absolute difference between the payer and claims-observed rates. Null when there is no verified dollar-to-dollar claims match.
MethodologyIf the claims rate is $100 and the payer-stated rate is $105, the claims_comparison_diff will be 0.05 (absolute value of the ratio of the rates minus 1). Only for claims validation and not for billed charges.
CategoryClaims Validation
SourceAdded or derived by Serif Health

Other Claims Validation fields

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