Facets Capitation/Risk Allocation application group

The Capitation/Risk Allocation application group consists of those applications that allows health care payer organizations to establish and maintain information that is necessary to direct payments and/or allocate funds to the appropriate service providers and/or process claims for members with capitated service agreements. This application group has more than 15 applications, some of which are as follows:

1) Average Member Premium

2) Capitation Inquiry

3) Capitation Schedule Definition

4) Claim/Encounter Mapping

5) Common Capitation Relationship

6) Cycle Description

7) Fund Definition

8) Lifestyle Rate Factor

9) Manual Capitation Adjustment

10) Member Retro Adjustment