Person Center — Data Tab

You can filter and export data for visits and other events.

This data includes:

• Date of service
• Who provided the service
• Diagnosis codes and descriptions
• Procedure codes and descriptions
• Amount of services allowed by the payer

The source of this data is from payer data feeds.

You can filter and export data for laboratory tests.

This data includes:

• Date of service
• Who ordered the lab
• CPT codes and descriptions
• LOINC codes and descriptions
• Result of the lab

The source of this data is from payer data feeds.

You can filter and export data for prescriptions.

This data includes:

• The name of the person who prescribed the medication
• When the medication was filled
• The quantity dispensed by the pharmacy
• The number of days supply this quantity represents

The source of this data is payer data feeds.

You can view data in a scatterplot by month and event type, and you can customize the graph to show only certain types of events.

This data shows when these events occurred:

• Inpatient
• Outpatient
• Emergency department
• Radiology
• Labs
• Other visits

The source of this data is payer data feeds.

You can filter and export Ingenix Episode Treatment Group (ETG) data. ETG is a way to identify and classify episodes of care irrespective of the treatment setting (that is, inpatient, outpatient, or both). It combines related services to describe a complete episode of care and the associated costs.

This data includes:

• The ETG name
• Responsible provider

• Types and amount of services allowed by payer

• Severity
• Diagnosis

The source of this data is payer data feeds.

You can filter and export Ingenix Episode Risk Groups (ERG) data. ERG is a way to assess risk that predicts current and future healthcare service usage for individuals and groups. ERG is a measure of a patient's health risk score.

This data includes:

• Prescribed medications
• Who prescribed each medication
• When each medication was filled
• The quantity dispensed by the pharmacy
• Amount allowed by the payer

The source of this data is payer data feeds.

You can see who has viewed and modified a patient's data. You can also filter and export this information.

1. Display the patient's Person Center Data tab: On the Main Menu, enter the patient's name, patient ID, or member ID (insurance number) in the Search Bar. Under NETWORK PATIENTS, select the data type and then click the search icon. Matching patients are listed under the Patients tab. Click the patient name to expand the selection, and then click the patient name in large text to display the patient's Person Center. Click the Data tab.
2. Click Timeline.
   The data timeline graph appears.
3. Click Customize Graph.
4. Check or uncheck boxes in the drop-down list to select the types of events to include in the graph.
   Note: By default, all events are included.
5. Click Apply Selections.

1. Display the patient's Person Center Data tab: On the Main Menu, enter the patient's name, patient ID, or member ID (insurance number) in the Search Bar. Under NETWORK PATIENTS, select the data type and then click the search icon. Matching patients are listed under the Patients tab. Click the patient name to expand the selection, and then click the patient name in large text to display the patient's Person Center. Click the Data tab.
2. Click a data category.
   Note: These instruction pertain to all categories except Timeline.
   A data table appears.
3. Click a column heading to sort data numerically or alphabetically by that column.
4. To reverse the sort order, click the column heading again.
   Note: An arrow appears to the right of the column heading to indicate how data is sorted.

1. Display the patient's Person Center Data tab: On the Main Menu, enter the patient's name, patient ID, or member ID (insurance number) in the Search Bar. Under NETWORK PATIENTS, select the data type and then click the search icon. Matching patients are listed under the Patients tab. Click the patient name to expand the selection, and then click the patient name in large text to display the patient's Person Center. Click the Data tab.
2. Click a data category.
   Note: These instruction pertain to all categories except Timeline.
   A data table appears.
3. Click the choose table fields icon .
   A drop-down list of optional columns appears.
4. Drag one of the optional columns from the drop-down list to the desired location in the table.
   The column appears in that location.

1. Display the patient's Person Center Data tab: On the Main Menu, enter the patient's name, patient ID, or member ID (insurance number) in the Search Bar. Under NETWORK PATIENTS, select the data type and then click the search icon. Matching patients are listed under the Patients tab. Click the patient name to expand the selection, and then click the patient name in large text to display the patient's Person Center. Click the Data tab.
2. Click a data category.
   Note: These instruction pertain to all categories except Timeline.
   A data table appears.
3. Click the choose table fields icon .
   A drop-down list of optional columns appears.
4. Drag a column from the table to the choose table fields drop-down list.
   The column is removed from the table and is listed as one of the optional fields in the choose table fields drop-down list.

1. Display the patient's Person Center Data tab: On the Main Menu, enter the patient's name, patient ID, or member ID (insurance number) in the Search Bar. Under NETWORK PATIENTS, select the data type and then click the search icon. Matching patients are listed under the Patients tab. Click the patient name to expand the selection, and then click the patient name in large text to display the patient's Person Center. Click the Data tab.
2. Click a data category.
   Note: These instruction pertain to all categories except Timeline.
   A data table appears.
3. Click the export icon .
4. Click the file name in the lower left of the page to open the file in Excel.

1. Display the patient's Person Center Data tab: On the Main Menu, enter the patient's name, patient ID, or member ID (insurance number) in the Search Bar. Under NETWORK PATIENTS, select the data type and then click the search icon. Matching patients are listed under the Patients tab. Click the patient name to expand the selection, and then click the patient name in large text to display the patient's Person Center. Click the Data tab.
2. Click Audit Log.
   The Audit Log page appears.
3. To narrow the list of activities:
   1. Click the Add Filter icon at the top of the page.
   2. Select Activity Log Type.
   3. Select desired filters.
   4. Click Apply.
      A list of all activities matching your criteria for that patient appears.

The following fields appear by default:

• Line ID — The claim identification number.
• Payer — The name of the payer for this claim.
• Member Identifier — The patient's insurance identification number.
• NPI — The National Provider Identifier number.
• Provider — The name of the provider who provided services.
• Service Date — The date when services were provided.
• Diagnosis Name — The name of the diagnosis.
• Procedure Code — The code for the procedure.
• Modifier — The claim line modifier.
• Procedure Name — The name of the procedure.
• Units — The units of service provided. Different services use different units of measurement.
• Allowed — Amount allowed by payer.
• PersonName — The patient's name.
• DOB — The patient's date of birth.
• Affiliation — Indicates whether services were provided in or outside of your network.

Optional fields

 

Click the choose table fields icon to add these optional fields:

• Gender — Indicates whether the patient is male or female.
• ICD Version — Indicates the version of ICD codes used.
• PCP — The patient's primary care provider.
• PCP Group — The group that the patient's primary care provider is associated with.

The following fields appear by default:

• Line ID — The claim identification number.
• Payer — The name of the payer for this claim.
• Member Identifier — The patient's insurance identification number.
• NPI — The National Provider Identifier number.
• Provider — The name of the provider who ordered the lab.
• Service Date — The date when services were provided.
• CPT — The Current Procedural Terminology code.
• CPT Name — The name of the procedure associated with the CPT code.
• LOINC — The Logical Observation Identifiers Names and Codes number.
• LOINC Name — The name of the lab associated with the LOINC number.
• Result — Indicates whether the result of a test is normal or abnormal.
• Value — Displays the result of a test as a value.

The following fields appear by default:

• Line ID — The claim identification number.
• Payer — The name of the payer for this claim.
• Member Identifier — The patient's insurance identification number.
• NPI — The National Provider Identifier number.
• Medication — The name of the prescribed medication.
• Prescriber — The name of the person who prescribed the medication.
• Quantity — How much of a prescription medicine a pharmacy dispensed to the patient.
  Note: Only a numeral appears in the Quantity column; the unit of measure associated with this numeral varies, based on the type of medication (for example, the total number of tablets or capsules, how many grams of a topical cream, and so on).
• Days Supply — How many days supply of medication a pharmacy dispensed to the patient.
• Fill Date — When the pharmacy filled the prescription.
• Affiliation — Indicates whether the prescription was filled in or outside of your organization's network.

Optional fields

 

Click the choose table fields icon to add these optional fields:

• Allowed — Amount allowed by payer.
• DOB — The patient's date of birth.
• Gender — Indicates whether the patient is male or female.
• PCP — The patient's primary care provider.
• PCP Group — The group that the patient's primary care provider is associated with.
• PersonName — The patient's name.

The following events appear in the graph by default:

• IP — Inpatient events
• OP — Outpatient events
• ED — Emergency department events
• RAD — Radiology events
• LAB — Lab events
• VISIT — Other visits

The following fields appear by default

• PCP Name — The name of the patient's primary care provider.
• Responsible Provider — The provider who is responsible for this patient based on your organization's risk-based contracts.
• ETG Name — The name of the Episode Treatment Group; a group of related claims describing a complete episode of care.
• Severity — The patient's risk score in terms of the predicted claim cost for inpatient services, outpatient services, physician and other services, and prescription drug services.
• Medical Allowed — Amount of medical cost allowed by the payer.
• Rx Allowed — Amount of prescription drug cost allowed by the payer.
• Surgery Allowed — Amount of surgery cost allowed by the payer.
• Facility Allowed — Amount of facility cost allowed by the payer.
• Diagnosis — The name of the diagnosis.
• Start Date — When the allowed service begins.
• End Date — When the allowed service ends.

Optional fields

 

Click the choose table fields icon to add these optional fields:

• ETG Number — The identification number for the Episode Treatment Group; a group of related claims describing a complete episode of care.
• ICD Version — Indicates which ICD version the codes listed are associated with.
• PCP ID — The identification number of the patient's primary care provider.
• Responsible Provider ID — The identification number of the provider who is responsible for this patient based on your organization's risk-based contracts.

The following fields appear by default:

• Line ID — The claim identification number.
• Payer — The name of the payer for this claim.
• Member ID — The patient's insurance identification number.
• NPI — The National Provider Identifier number.
• Prescriber — The name of the person who prescribed a medication.
• Fill Date — The date when the pharmacy filled a prescription order.
• Medication — The name of the prescribed medication.
• Quantity — How much of a prescription medicine a pharmacy dispensed to the patient.
  Note: Only a numeral appears in the Quantity column; the unit of measure associated with this numeral varies, based on the type of medication (for example, the total number of tablets or capsules, how many grams of a topical cream, and so on).
• Allowed — Amount allowed by payer.

The following fields appear by default:

• Date — The date when the user viewed or modified the patient's information.
• Time — The time when the user viewed or modified the patient's information.
• User — The name of the user who viewed or modified the patient's information.
• Description — A description of the user's action.
• Notes — Provides more details about the user's action.