PET - Plain English Taxonomy

Attribute:	PL18868
Concept:	Expense Medicare Benefits Paid Amount
Label:	Medicare benefit
Concept Guidance:	This is the value, during the relevant period, for Medicare benefits paid.

Dimensions

Dimension	Member	Description
GapAgreementDimension	(KnownGapAgreement)	This dimension categorises the reported data according to whether there is an agreement between a medical practitioner and an insurer, in relation to the benefit paid by the insurer relative to the fee charged by the medical practitioner. The information reported is in relation to an agreement where the difference between the amount of benefit paid by the insurer and the fee changed by the medical practitioner is a known amount, which is the out of pocket expenses to be paid by the insured person.
RelativeFeeSizeDimension	(GreaterThan125PercentMedicareBenefitScheduleFeeTo150PercentMedicareBenefitScheduleFee)	This dimension categorises the reported data according to the size of the fee charged relative to the Medicare benefit schedule fee. The information reported is in relation to a fee charged that is greater than 125% of the Medicare benefit schedule fee and less than or equal to 150% of the Medicare benefit schedule fee.
TreatmentServicesDimension	(HospitalTreatmentOnly)	This dimension categorises the reported data according to the type of treatment services provided. The information reported is in relation to treatments that are only hospital treatment.