Use
the Capitation/Risk Allocation group of applications to establish and control
the information necessary to process claims for members with capitated service
agreements and then direct payments and/or allocate funds to the appropriate
service providers. The applications available in this group are:
1.
Average Member Premium
2. Batch
Control Parameters
3.
Capitation Inquiry
4.
Capitation Pool Description
5.
Capitation Schedule Definition
6.
Claim/Encounter Mapping
7. Cycle
Description
8. Fund
Definition
9.
Lifestyle Rate Factor
10.
Manual Capitation Adjustment
11.
Supplemental Capitation Rates
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