Fee for service equivalent that would have been paid by the healthcare claims processor for a specific service, if the service had not been capitated. "Capitated services" 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. |