Matching healthcare groups and systems based on billed claims
Abstract:
Matching healthcare groups and healthcare systems based on billed claims and calculating capture of billed procedures for healthcare groups and systems. A method includes identifying one or more office practitioners billing carrier claims comprising a certain office billing identifier and identifying one or more procedure practitioners associated with facility claims for procedures performed under a certain procedure billing identifier. The method includes identifying a common practitioner billing carrier claims comprising the certain office billing identifier and associated with facility claims for procedures performed under the certain procedure billing identifier. The method includes generating an office-procedure pair by matching the certain office billing identifier with the certain procedure billing identifier based on an existence of the common practitioner.
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