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Greenrain Facility retrieves these prices for the selected procedure codes in new authorization requests and e-claims. The patient visit (encounter) date is compared with the effective date of the uploaded price lists: the encounter start date must be greater than or equal to the effective date. If several lists satisfy the condition, then the list with the greatest value of the effective date is taken.

Example 1
- Two price lists are uploaded for the same Insurance plan with effective dates 1-Dec-2019 and 25-Dec-2019.
- Encounter start = 20-Dec-2019.
Result: Data from the price list with effective date 1-Dec-2019 will be used.

Example 2
- Two price lists are uploaded for the same Insurance plan with effective dates 1-Dec-2019 and 25-Dec-2019.
Encounter start = 30-Dec-2019.
Result: Data from the price list with effective date 25-Dec-2019 will be used.


Prices loading works as follows.

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