4.15 Facility And Physician Analysis

The facility and Physician Analysis reports show the top fifteen most utilized providers in each category for both network and non-network activity. The list includes the provider's name, the total amount paid by the plan sponsor, and the percentage of total plan dollars.

Claims-review-facility-physician-analysis

The Facility and Physician analysis provides a summary of charges for both network and non-network providers utilized by the member population.

** Note that clicking on a provider name drills down for further claim investigation. Please refer to the Drill Down section.

Helpful Hints:

Headers (Facility/Physician Name, # Claims, Total Charge, Plan Paid, % Paid, % Usage) can be manipulated by clicking on the desired report header to create additional reporting outcomes.

These reports are often useful in discovering providers that are not currently in a network for potential contracting opportunities.