Examples of Net Payment in a sentence
Medicare copays should not be reported here as it would be Medicaid MCE responsibility and would be reflected in Net Payment (#68).
X 9 N 68 Net Payment The amount the Medicaid MCE paid for this service and/or FFSE for the cost that the MCE incurred.
Medicare deductibles should not be reported here as it would be Medicaid MCE responsibility and would be reflected in Net Payment (#68).
For the claims covered by sub-capitation payments, MCEs must report the amounts reported by the provider/vendor on their claims in the Net Payment field (#68) or the Fee-For-Service Equivalent (FFSE) and use Record Indicator value 2 to indicate the FFSE type of payment arrangement.
The Net Payment may be allocated to the Fixed Income Option or the Variable Income Option or a combination of both.