Program Coordinators: Affiliate Billing

Every month, certain departments send a specified FTE (typically one or two residents at a certain RP level) to a designated affiliate hospital (i.e. Kaiser, Scripps Mercy, City of Hope, Planned Parenthood, CHHC L.A.). The affiliate hospital then pays UCSD for the services at a per diem rate. Our office must invoice our affiliates based on the number of days that our residents worked at the affiliate hospital. This data is provided by the department.

Instructions

Affiliate Reimbursement Billing forms should be sent by the 7th of each month for the prior month. It is essential that Affiliate Reimbursement forms are sent by this deadline so that we may meet our obligations to our affiliates. Please e-mail all requests to Elaine Garrido . Affiliate Reimbursement is based on each weekday a physician works. Each day is counted as one full day, no matter how many hours the physician did or did not work for that day. Weekends, holidays and sickdays are not taken into account for affiliate reimbursement billing.Please only include weekdays when calculating the net number of days worked.

Please use the Affiliate Reimbursement Billing Form - [19 kb] to fill out your request. If you do not know the password, please contact Elaine Garrido .

Affiliate Reimbursement Billing forms should contain the following information:

• Name of affiliate hospital (i.e., location)
• Level of housestaff (e.g., RP1, RP2, RP3, etc.)
• Name of housestaff (full first and last name)
• Social security number of housestaff
• Start and end date of rotation at affliate hospital
• Dates of any vacations or sick days
• Net number of days worked (please omit any weekend days worked, holidays, vacation days, and sick days)
  • For a list of holidays, please refer to the Payroll Calendar .
  • Please note, each day is counted as one full day, no matter how many hours the physician did or did not work for that day.