Overview
This article explains how low payments are calculated in IQ Flagged Claims and what Full BDP means as a claim disposition category.
How Low Payments Are Calculated
Low payments in IQ's Flagged Claims are calculated by comparing each claim to other similar claims for the same service. The system uses a comparison method that you can configure to determine how these comparisons are made.
Comparison Methods Available
By Patient: Compares a patient's claims only to other claims for the same patient (most valid method)
By Payer/BCBS Prefix: Compares claims across different patients with the same payer or BCBS prefix
💡 Tip: The most valid comparison method is "by Patient" because it provides the most accurate baseline for what that specific patient's claims should pay.
What Does Full BDP Mean?
Full BDP stands for Full Balance Due Patient. It is a claim disposition category that describes when the full balance of the claim has been assigned to the patient and the insurance has paid $0.
Purpose of Full BDP Category
Full BDP is reserved to double-check claim denials. It allows you to review any fully adjudicated claim in which the entire amount went to the patient balance.
This category helps ensure these are valid non-payment claims in which the full balance should be correctly applied to the patient.
Typical Full BDP Claims
Claims shown in this category are normally those that get denied because:
There was no coverage at the time of service
The full balance goes to the patient as a result
⚠️ Note: Full BDP is listed as a Flagged Claims category so you can double-check these claims and verify they are valid to be final denials with the full balance assigned to the patient.
Related Resources
For more information about how IQ processes billing data, see: How Dazos IQ Calculates and Digests Data