Question: Physician office revenue for visit code 99214 has a full established rate of $75.00. Of 5 different payers, there are 5 different contracted rates, as

Physician office revenue for visit code 99214 has a full established rate of $75.00.

Of 5 different payers, there are 5 different contracted rates, as indicated in the template provided below.

GHA 1 Template
COLUMN A B C=A-B
PAYER FULL RATE CONTRACTEDRATE CONTRACTUALALLOWANCE
FHP $75.00 $35.56
HPHP $75.00 $54.68
MC $75.00 $45.19
UND $75.00 $23.40
CCN $75.00 $37.82

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