TOTAL NUMBER OF ENCOUNTER RECORDS (TYPE OF CLAIM = 3), RELATED TO CARE PROVIDED BY A CAPITATED (PREPAID) PLAN FOR THE RECIPIENT DURING THE CALENDAR YEAR FOR THIS TYPE OF SERVICE. THIS DATA ELEMENT IS REPORTED FOR ALL TYPES OF SERVICE EXCEPT TOS = 20, 21 AND 22.
Comments
USER NOTE: THIS DATA ELEMENT IS THE ONLY EXCEPTION TO THE RULE OF EXCLUDING ENCOUNTER RECORDS FROM SUMMARY COUNTS. THE RULE IS DISCUSSED AT THE BEGINNING OF THE "RECIPIENT CLAIMS SUMMARY REGION".
USER NOTE: THIS DATA ELEMENT IS THE ONLY EXCEPTION TO THE RULE OF EXCLUDING ENCOUNTER RECORDS FROM SUMMARY COUNTS. THE RULE IS DISCUSSED AT THE BEGINNING OF THE "RECIPIENT CLAIMS SUMMARY REGION".