What Is Revenue Code Rate?

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What Is Revenue Code Rate?

Rates are groups of tables that are contained within the Reference functional area. The revenue code tables contain the rates and fee schedules required to price claims. The following revenue code rate tables can be established for ND MMIS and are used in the pricing step of claims adjudication:

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Revenue Code/Revenue Type/Provider Type Rates

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Revenue Code/Revenue Type/Provider ID/Network ID/Region Rates

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Revenue Code/Revenue Type/Benefit Plan ID Rates

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Revenue Code/Revenue Type/Provider ID/Network ID Rates

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Version as of 5/16/14.

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