Capitation Care Fee Agreement Fields

Use these fields to define payment terms for a contract of agreement type Capitation Care Fee Agreement. This agreement type supports the Capitated Payment type in which providers are paid a fixed amount for each member every month for a fixed set of services. As part of the program, the payer can also decide to withhold some amount and pay it later as a bonus amount based on the performance.

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.
Monthly Fee	The fee, agreed upon by the provider and payer, for each member per month.
Monthly Withheld Percentage	The percentage of the monthly fee that's withheld by the payer and shared later with the provider based on performance.
Monthly Balance Fee	The balance fee for each member after the monthly withheld fee.
Member Age Range Lower Limit	The lower age limit of the enrolled member for the capitation care fee agreement.
Member Age Range Upper Limit	The upper age limit of the enrolled member for the capitation care fee agreement.