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In short, 1 units equals 15 min of a doctors time.
In this program, a patient is allowed 4 units for an assessment & 20 units for therapy.
The request is to have a weekly report showing how many units each patient has so there is time to get a reauthorization request submitted before the last appointment date.
My measures are counting fine however, when a patient switches insurance plans or has a birthday during the date range,
the chart creates 2 lines and I only want 1 line per patient.
Chart Explanation
In patient 'Jane', I have 12 units applied to Medicaid and 2 units applied to Trillium; the true remaining therapy units should be 6.
In patient 'Bullocken' the true remaining should be 14
*** Note, when the Credited insurance Carrier column is removed from the chart, the CALCULATE(SUM) function works fine but that column must be displayed.
I need help adding some dax to my measure(s) that counts all units but filters the insurance table to only display the last insurance used, BUT.....I don't know how to do that.
The base column that sets the unit paremiters says if medical cpt code 97802 is used, it gets 4 and if 97803 is used, it gets 20. The measures are built off this new column.
Solved! Go to Solution.
Remaining = Average (Allowed) - Sum (Applied) (while removing the Insurance and date filter)
Remaining Follow-up = CALCULATE(AVERAGE('Table'[Allowed Follow-up])-sum('Table'[Applied Follow-up]),REMOVEFILTERS('Table'[Service Date],'Table'[Insurance]))
You can use REMOVEFILTERS in this scenario, specifically REMOVEFILTERS(...,[Credited Carrier])
Thanks, any chance you can be a bit more specific? As in...which of the measures do I need to incorporate the "REMOVEFILTERS' into and what would the entire statement then look like?
no sample data = no further help possible.
Unfortunately company policy does not allow me to link to this site. I have included data that you can copy and paste into excel or email me directly and I will provide the file. As a reminder, the end goal is to have a single line that shows the last insurance provider listed on the latest date of service and the remaining units regardless of which insurance paid for a given visit.
Thanks again for any assistance anyone can offer.
Client ID Patient DOB Visit Age 21st BD Insurance Allowed Assess Applied Assess Remaining Assess Allowed Follow-up Applied Follow-up Remaining Follow-up Latest Service
Client ID | Patient | DOB | Visit Age | 21st BD | Insurance | Allowed Assess | Applied Assess | Remaining Assess | Allowed Follow-up | Applied Follow-up | Remaining Follow-up | Latest Service |
XXXXX-76 | Jane | 12/8/2006 | 15 | 12/8/2027 | Medicaid | 4 | 4 | 0 | 20 | 12 | 8 | 7/14/2022 |
XXXXX-76 | Jane | 12/8/2006 | 15 | 12/8/2027 | Trillium Medicaid | 20 | 2 | 18 | 8/5/2022 | |||
XXXXX-47 | Juanita | 4/21/2005 | 17 | 4/21/2026 | Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 5/3/2022 |
XXXXX-6A | Lauren | 12/27/2006 | 15 | 12/27/2027 | NC Healthchoice | 4 | 4 | 0 | 20 | 8 | 12 | 6/27/2022 |
XXXXX-42 | Alyssa | 1/18/2004 | 18 | 1/18/2025 | Medicaid | 4 | 4 | 0 | 20 | 4 | 16 | 6/27/2022 |
XXXXX-07 | Angel | 9/23/2002 | 19 | 9/23/2023 | UHC Community Plan - Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 8/16/2022 |
XXXXX-41 | Kirsten | 8/4/2002 | 19 | 8/4/2023 | Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 7/14/2022 |
XXXXX-34 | Alana | 2/17/2012 | 10 | 2/17/2033 | Medicaid | 4 | 4 | 0 | 20 | 4 | 16 | 7/22/2022 |
XXXXX-34 | Alana | 2/17/2012 | 10 | 2/17/2033 | Trillium Medicaid | 20 | 4 | 16 | 8/12/2022 | |||
XXXXX-5A | Alex | 10/2/2006 | 15 | 10/2/2027 | Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 4/1/2022 |
XXXXX-61 | Emma | 5/27/2004 | 17 | 5/27/2025 | Healthy Blue - Medicaid | 4 | 4 | 0 | 20 | 4 | 16 | 3/28/2022 |
XXXXX-04 | Adrienne | 3/1/2002 | 19 | 3/1/2023 | UHC Community Plan - Medicaid | 20 | 2 | 18 | 1/7/2022 | |||
XXXXX-96 | Ella | 7/31/2005 | 16 | 7/31/2026 | BCBS NC | 20 | 4 | 16 | 2/7/2022 | |||
XXXXX-85 | John | 3/6/2011 | 10 | 3/6/2032 | Medicaid | 4 | 4 | 0 | 2/28/2022 | |||
XXXXX-85 | John | 3/6/2011 | 11 | 3/6/2032 | Medicaid | 20 | 2 | 18 | 3/24/2022 | |||
XXXXX-21 | LAYTON | 10/3/2010 | 11 | 10/3/2031 | AmeriHealth - Medicaid | 4 | 4 | 0 | 20 | 3 | 17 | 7/22/2022 |
XXXXX-3A | Carmen | 12/24/2003 | 18 | 12/24/2024 | Healthy Blue - NCHC Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 4/25/2022 |
XXXXX-66 | Joslyn | 9/18/2003 | 18 | 9/18/2024 | NC Healthchoice | 4 | 4 | 0 | 20 | 2 | 18 | 4/8/2022 |
XXXXX-15 | Trey | 6/30/2007 | 14 | 6/30/2028 | Medicaid | 20 | 4 | 16 | 6/16/2022 | |||
XXXXX-15 | Trey | 6/30/2007 | 14 | 6/30/2028 | WellCare - Medicaid | 4 | 4 | 0 | 4/4/2022 | |||
XXXXX-15 | Trey | 6/30/2007 | 15 | 6/30/2028 | Trillium Medicaid | 20 | 2 | 18 | 8/8/2022 | |||
XXXXX-50 | Ashley | 12/24/2004 | 17 | 12/24/2025 | WellCare - Medicaid | 20 | 18 | 2 | 6/3/2022 | |||
XXXXX-71 | JACOB | 10/7/2004 | 17 | 10/7/2025 | BCBS NC | 20 | 2 | 18 | 1/4/2022 | |||
XXXXX-86 | Isabelle | 10/28/2005 | 16 | 10/28/2026 | Medicaid | 4 | 2 | 2 | 20 | 8 | 12 | 8/1/2022 |
XXXXX-56 | Camila | 6/4/2006 | 15 | 6/4/2027 | Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 3/29/2022 |
XXXXX-00 | Malyah | 10/4/2002 | 19 | 10/4/2023 | Carolina Complete Health - Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 5/27/2022 |
XXXXX-9A | Jayden | 5/25/2007 | 15 | 5/25/2028 | Medicaid | 4 | 4 | 0 | 7/5/2022 | |||
XXXXX-4A | Jariel | 10/3/2005 | 16 | 10/3/2026 | Medicaid | 4 | 4 | 0 | 20 | 10 | 10 | 6/30/2022 |
XXXXX-3A | Caelyn | 8/8/2002 | 19 | 8/8/2023 | Medicaid | 20 | 12 | 8 | 4/21/2022 | |||
XXXXX-37 | Jeremiah | 7/12/2012 | 9 | 7/12/2033 | Medicaid | 4 | 2 | 2 | 20 | 2 | 18 | 5/31/2022 |
XXXXX-25 | Ryan | 7/3/2006 | 15 | 7/3/2027 | Healthy Blue - Medicaid | 4 | 4 | 0 | 20 | 4 | 16 | 6/28/2022 |
XXXXX-25 | Ryan | 7/3/2006 | 16 | 7/3/2027 | Healthy Blue - Medicaid | 20 | 6 | 14 | 8/16/2022 | |||
XXXXX-85 | KELSEY | 10/26/2004 | 17 | 10/26/2025 | Medicaid | 20 | 2 | 18 | 2/8/2022 | |||
XXXXX-78 | Karizma | 10/18/2002 | 19 | 10/18/2023 | Healthy Blue - Medicaid | 4 | 4 | 0 | 2/10/2022 | |||
XXXXX-25 | Lola | 7/26/2004 | 17 | 7/26/2025 | WellCare - Medicaid | 4 | 4 | 0 | 4/26/2022 | |||
XXXXX-86 | Modesty | 6/2/2005 | 17 | 6/2/2026 | Medicaid | 4 | 4 | 0 | 6/9/2022 | |||
XXXXX-46 | MELISA | 2/24/2007 | 15 | 2/24/2028 | Carolina Complete Health - Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 6/24/2022 |
XXXXX-5A | Naudia | 12/22/2005 | 16 | 12/22/2026 | Medicaid | 4 | 4 | 0 | 20 | 6 | 14 | 7/21/2022 |
XXXXX-5A | Naudia | 12/22/2005 | 16 | 12/22/2026 | Trillium Medicaid | 20 | 2 | 18 | 8/9/2022 | |||
XXXXX-44 | Jaidyn | 8/1/2009 | 12 | 8/1/2030 | AmeriHealth - Medicaid | 4 | 4 | 0 | 20 | 2 | 18 | 4/7/2022 |
XXXXX-55 | Delilah Blue | 12/29/2007 | 14 | 12/29/2028 | Beacon Health Options | 4 | 4 | 0 | 20 | 2 | 18 | 4/4/2022 |
XXXXX-51 | Isabella | 7/11/2005 | 16 | 7/11/2026 | NC Healthchoice | 4 | 4 | 0 | 20 | 24 | -4 | 7/5/2022 |
XXXXX-51 | Isabella | 7/11/2005 | 17 | 7/11/2026 | NC Healthchoice | 4 | 2 | 2 | 20 | 8 | 12 | 8/15/2022 |
XXXXX-7A | Josephine | 9/6/2004 | 17 | 9/6/2025 | Medicaid | 20 | 2 | 18 | 1/6/2022 | |||
XXXXX-9A | PAMELA | 3/12/2003 | 18 | 3/12/2024 | Medicaid | 4 | 2 | 2 | 20 | 4 | 16 | 2/18/2022 |
XXXXX-69 | Jacob | 4/3/2009 | 12 | 4/3/2030 | BCBS NC | 20 | 2 | 18 | 3/1/2022 | |||
XXXXX-69 | Jacob | 4/3/2009 | 12 | 4/3/2030 | WellCare - Medicaid | 4 | 4 | 0 | 20 | 7 | 13 | 3/29/2022 |
XXXXX-74 | Hannah | 8/27/2010 | 11 | 8/27/2031 | Medicaid | 4 | 4 | 0 | 1/28/2022 |
Remaining = Average (Allowed) - Sum (Applied) (while removing the Insurance and date filter)
Remaining Follow-up = CALCULATE(AVERAGE('Table'[Allowed Follow-up])-sum('Table'[Applied Follow-up]),REMOVEFILTERS('Table'[Service Date],'Table'[Insurance]))
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