Successfully validated and matched roster line items can be approved, and payments can then be made to the provider, provided that the service included on the roster line item is configured to be paid based on attendance. The payment amount is determined using the same hierarchy of rates as described in the service invoice line item section. In contrast to service invoice line items, roster line items don't include a rate, and so only the rates configured in the system are used.
Like service invoice line items, if the submitted roster line item relates to a service which has a delivery type of 'Product Delivery with Invoicing', and if a custom rate has been specified for the associated product, then the custom rate will be used to determine the payment amount. The system uses product delivery processing in this case to determine the payment amount rather than CPM processing. If a custom rate has not been specified for the associated product, then the payment amount is determined using CPM processing instead. For information on defining rate tables for product deliveries, see Appendix A of the Cúram Integrated Case Management Configuration Guide.
If more than one rate is effective over the period of the roster line item, all the applicable rates are used. For example, there is a roster line item starting from 1st January and ending on 31st January and a provider offering rate starting from 1st October and ending on 10th January. The provider offering rate would be used to make payment against the first 10 days of the roster line item, and then the service offering rate would be used for the remaining 21 days of the roster line item. This example assumes that there is no rate specified on service authorization and no utilization contract rate exists.