Fee for service equivalent that would have been paid by the health care claims processor for a specific service if the service had not been capit“ted. "Capitated se”vices" means services rendered by a provider through a contract where payments are based upon a fixed dollar amount for each member on a periodic basis. This is a money field containing dollars and cents. Code decimal point. This field may contain a negative value. $0.00 is a valid value. If record does not meet the dependency, do not populate with $0.00. Leave null.
If this field is changed in the versioning process and the dollars must be voided or backed out, the value should be represented as a negative.
Type
Numeric
Format
±decimal
Length
10,2
Threshold
100% if MC206 = Y
Required
Required
Tip / Notes
Rank
083
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