What are pricing files, and how do they relate to the chargemaster in Resolute?

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Multiple Choice

What are pricing files, and how do they relate to the chargemaster in Resolute?

Pricing files store negotiated rates and allowances by payer for each service or charge, and those rates are used to price items in the chargemaster. In Resolute, the chargemaster is the master list of standard charges for services. When billing, the system applies the payer-specific rates from the pricing file to the corresponding chargemaster line item, so the negotiated rate replaces or adjusts the standard charge for that payer. This ensures contracts and discounts are honored automatically during pricing. They aren’t about past payments or financial assistance approvals, and they aren’t the same as the chargemaster—the pricing file feeds the chargemaster with payer-specific prices.

Pricing files store negotiated rates and allowances by payer for each service or charge, and those rates are used to price items in the chargemaster. In Resolute, the chargemaster is the master list of standard charges for services. When billing, the system applies the payer-specific rates from the pricing file to the corresponding chargemaster line item, so the negotiated rate replaces or adjusts the standard charge for that payer. This ensures contracts and discounts are honored automatically during pricing. They aren’t about past payments or financial assistance approvals, and they aren’t the same as the chargemaster—the pricing file feeds the chargemaster with payer-specific prices.

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