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Overview

PriceMedic is an analytics platform that enables healthcare providers to understand their reimbursement landscape using transparency in coverage data.

Report Creation

The report creation process consists of five main steps:

  1. Payer Selection: Choose one or multiple payers whose reimbursement data you want to analyze. Consider whether you need single-payer reports for interactive analysis or multi-payer reports for export and external analysis.

  2. Procedure Selection: Select the medical billing codes you want to analyze. The platform supports various code types including CPT, HCPCS, ICD-10, and more. You can filter by billing code types, modifiers, negotiation arrangements, billing classes, and negotiated types.

  3. Region Selection: Choose the geographic regions for your analysis. You can select specific states or territories, or choose “National” for a country-wide view.

  4. Specialty Selection: Add medical specialties based on the National Uniform Claim Committee’s taxonomy codes. The platform helps you find relevant providers by their primary taxonomy codes.

  5. Report Summary: Review your selections and generate the final report. The Market Summary section helps ensure you have an appropriate scope for your analysis.