Name: | GapAgreementDimension |
---|---|
Label: | Gap Agreement Dimension |
TREF ID: | DM807 |
Type: | Predefined |
Description: |
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. |
Usage: |
Dimension Members
Name | Label | TREF ID | Description |
KnownGapAgreement | Known Gap Agreement | DV7734 |
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. |
NoAgreement | No Agreement | DV7735 |
The information reported is in relation to there being no agreement between a medical practitioner and an insurer in relation to the amount of benefit paid relative to the fee charged. |
NoGapAgreement | No Gap Agreement | DV7733 |
The information reported is in relation to an agreement where a medical practitioner agrees to accept a payment by the insurer in full satisfaction of the amount owed so that there is no gap or no out of pocket expenses to be paid by the insured person. |