Excluding a Network or Provider in a Discount Arrangement Pricing Rule

Procedure

To exclude a network or provider in a discount arrangement pricing rule:

  1. Ensure that the Exclusion section appears when you are defining or editing a discount arrangement pricing rule.

    The Exclusion section contains the following fields in a grid:

    Field Name Field Description Mandatory (Yes or No)
    Exclusion Level Used to indicate whether you want to exclude the discount offered to certain network hospitals and providers during the discount share or discount guarantee calculation. The valid values are:

    • Network

    • Provider

    Note: The system creates the transaction legs and calculation lines for such excluded network hospitals and providers, but does not accumulate the discount.
    		 Yes (Conditional)
    Note: This field is required while excluding a network or provider in the discount arrangement pricing rule.
    Level Identifier Used to specify the network or provider ID. Yes (Conditional)
    Note: This field is required while excluding a network or provider in the discount arrangement pricing rule.
  2. Enter the required details in the Exclusion section.
  3. If you want to exclude more than one network or provider in the discount arrangement pricing rule, click the Add (The Add Icon) icon and then repeat step 2.
    Note: However, if you want to remove a network or provider from the exclusion list, click the Delete (The Delete Icon) icon corresponding to the network or provider.
  4. Click Save.
    The network or provider is excluded in the discount arrangement pricing rule.

Related Topics

For more information on... See...
How to define a discount arrangement pricing rule for a parent customer Defining a Discount Arrangement Pricing Rule for a Parent Customer
How to edit a discount arrangement pricing rule of a parent customer Editing a Discount Arrangement Pricing Rule of a Parent Customer