ClaimsVerified
Whether the payer-posted dollar rate matched a claims-observed rate within tolerance.
| ClaimsVerifiedS | |
|---|---|
| Description | Whether the payer-posted dollar rate matched a claims-observed rate within tolerance. |
| Methodology | True when the relative difference between the payer rate and claims rate (associated with the claims_rate_column) is within a 5% tolerance. Only for claims validation and not for billed charges. |
| Category | Claims Validation |
| Source | Added or derived by Serif Health |
Other Claims Validation fields
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