Overview
Developed by the Health Industry Collaboration Effort (HICE) Encounters Standardization Team, this resource was created as a best practice to identify the minimum data elements necessary for plans to include in a file sent to the delegates for an encounter reconciliation. The resource includes the most commonly used encounter data elements.
Author
Health Industry Collaboration Effort (HICE) Encounters Standardization Team
Why use it
The Encounter Reconciliation Report is intended for Provider Organizations and Delegates that work with claims or encounters to verify what the plan has against what the delegate may have in their system to identify missing data. This report is designed to be a quick tool and resource for healthcare organizations to use during encounter reconciliation.
Who it’s for
The Encounter Reconciliation Report is intended for healthcare organizations, such as provider organizations and delegates, that work with claims or encounters to perform encounter reconciliation.
Key take-aways
This report provides information and examples to verify what the plan has against what the delegate may have in their system to identify missing data, including:
- The most commonly used encounter data elements
- The minimum data elements necessary for plans to include in a file sent to the delegates for an encounter reconciliation
Date published
August 2022