5.3 Network Trends
Network Utilization compares the payment distrabution of in-network vs out of network charges, and shows the discount rate received plotted quarter over quarter.
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 recieved from PPO and other discount outlets.