Assessment
Viewing Managed Care Rate-based Retro Adjustments
In this module, you will learn how to view Retro Rate Payments.
Viewing Managed Care Payment Transactions
In this module, you will learn how to view managed care payment transactions.
Viewing Managed Care Payments
In this module, you will learn how to view the key details of the organizational and individual level data on a Managed Care Payment Summary page.
Introduction to Processing Managed Care Payments
In this module, you will be introduced to the Managed Care Payment process. You will also learn about the key concepts in managed care payments, such as capitation, Recoupment, manual payment, and retroactive manual payment.
Viewing Pharmacy Claims Header Information by a Managed Care Organization
In this module, you will learn how a provider can view the Pharmacy claim header detail.
Viewing Managed Care Gross Adjustments
In this module, you will learn how to view the Managed Care (MC) Gross Adjustment payment information.
Managing Managed Care Gross Adjustments
In this module, you will learn how to approve and mass approve Gross Adjustments, unapprove and mass unapprove Gross Adjustments, and reject and mass reject MC Gross Adjustments.