Describe the role of the Pricing Master in Resolute and how an 'Effective Date' affects billing.

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Multiple Choice

Describe the role of the Pricing Master in Resolute and how an 'Effective Date' affects billing.

Prices in the Pricing Master are the official charges the system uses for billing, including both contract-based prices negotiated with payers and standard list prices. The Effective Date acts as the gate that determines when a given price version becomes active for charges. In practice, the pricing engine uses the price version that is effective on or before the service date, so updates to pricing don’t change past bills but apply to new charges once the date arrives. This setup supports revenue integrity by versioning prices over time and ensuring the correct amount is billed according to contract terms and timing. Other aspects like patient co-pays, discount tokens, or CPT code tracking belong to different parts of the system, not the Pricing Master.

Prices in the Pricing Master are the official charges the system uses for billing, including both contract-based prices negotiated with payers and standard list prices. The Effective Date acts as the gate that determines when a given price version becomes active for charges. In practice, the pricing engine uses the price version that is effective on or before the service date, so updates to pricing don’t change past bills but apply to new charges once the date arrives. This setup supports revenue integrity by versioning prices over time and ensuring the correct amount is billed according to contract terms and timing. Other aspects like patient co-pays, discount tokens, or CPT code tracking belong to different parts of the system, not the Pricing Master.

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