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            Percentile Care Fee Agreement Fields

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            Percentile Care Fee Agreement Fields

            Use these fields to define payment terms for a contract of agreement type Percentile Care Fee Agreement. This agreement type supports the Percentile-Based payment type in which providers are paid based on the percentile range for that member. Each percentile range has a fee that is determined by factors such as the member's age.

            Required Editions

            Available in: Lightning Experience

            Available in: Enterprise and Unlimited Editions with Health Cloud
            Field Description
            Contract Payment Agreement The related contract payment agreement record.
            Procedure Code The industry standard code for the procedure, such as CPT or HCPCS.
            Procedure Code Description The description of the procedure code.
            First Bracket Price The price for the procedure if the member falls into the first percentile bracket based on the payer's determining factor.
            Second Bracket Price The price for the procedure if the member falls into the second percentile bracket based on the payer's determining factor.
            Third Bracket Price The price for the procedure if the member falls into the third percentile bracket based on the payer's determining factor.
            Fourth Bracket Price The price for the procedure if the member falls into the fourth percentile bracket based on the payer's determining factor.
            Fifth Bracket Price The price for the procedure if the member falls into the fifth percentile bracket based on the payer's determining factor.
            Bracket Information The description of the percentile bracket information.
            Standard Price The standard price for the procedure defined by the governing body.
            Relative Value Unit The relative value unit for the procedure.
             
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