5.3 Network Trends
Network Utilization compares the payment distribution of in-network vs out of network charges, and shows the discount rate received plotted quarter over quarter...
Green - Plan
Yellow - Member
Blue - Discount
The colored areas correlate to the legend area below by showing detailed network claim information from start and end dates for each quarter based on time period displayed on the reports.
The following fields are included in Network Utilization :
Period - Denotes each quarter represented on the graph.
Claims - The number of claims; useful in determining the volume of activity for each quarter.
Total Charge - The total amount billed by the provider before network discount or other types of savings are applied.
Plan Paid - Total amount paid by the plan sponsor.
Member Paid - Total amount paid by the member.
Discount - The amount of savings received from PPO and other discount outlets.