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.