Please enter all claim data for the most recent month. RIZO and school-located clinic data are to be entered together. Do not enter cumulative data. Values entered should reflect a snapshot of activity that occurred in the last month only. Given the cycle time of claim processing, data entered for “# claims submitted” and “$ amount submitted” will not correlate to the “$ amount paid” column, as they do not likely reflect the same claims.
When entering data, please itemize data by payer source, showing the claim details for admin fees separately from vaccine fees in the corresponding rows. If a specific payer does not itemize reimbursements for admin fee separately from vaccine, you may mark “Yes” in the field for combining admin and vaccine fees. In those cases only, all claim data should be entered in the admin row, with the vaccine row left blank.
Special notes: If the dropdown menu is missing a payer source, please contact Jodi Maturo at 303-692-2753 to have it added.