Internal vs Linked Contract Member

Internal Patients are assigned to Internal Contracts. Internal Patients become Linked Contract Patients when assigned/linked to a Payer. When an Internal Patient becomes a Linked Contract Patient, Providers see two entries for the Payer in the Contract filter throughout the application. In addition, there are two Contracts for each Patient (an Internal and a new Linked Contract). In some cases, both Contracts remain active in the system. In such cases, the Patient must be discharged from the applicable Internal Contract.

For example, a Patient receives both Skilled and Non-Skilled services; but the Payer is only linking the Non-Skilled services. Therefore, the Patient has two active Contracts with the Agency; the linked Non-Skilled services and the Internal Contract for Skilled services.