Guidance on the reporting of specific cases in the 2025 annual levy

Based on suggestions, we are adding to the Calculation Manual Data Collection Interface (DR201) to specify specific cases in the 2025 annual benefit:

1. Clarification of the reporting of the medical establishment code for a merged classification case
For a merged classification case, in the batch section '3.3.9 CP - Costs', a single row is created in the cost matrix with the code of the inpatient unit that reported the merged case in batch 274 to the GP and with zero costs.
In the case of multiple mergers, in the same way, in the batch section '3.3.9 CP - Costs', a single row is created in the cost matrix with the code of the inpatient unit that last reported the merged case to the GP.

2. Clarification for the recognition of the EHR in the '3.3.9 CP - Costs' part of the batch, in the cost matrix.
If the PHC has its own medical unit with a code corresponding to the SNS group of the medical unit providing the EHC, (SNS7, SNS8 or SNS9a) then use the code of the own unit with the corresponding SNS for reporting in the cost matrix and report the cost in SND=6c. The expertise of the own unit does not have to be the same as the expertise of the unit providing the EHCP, it is the match in the SNS group that is relevant.
If the PHC does not have its own medical department with a code matching the SNS group of the medical department providing the EHC, then the amount of all EHC costs belonging to the classification case is reported in the cost matrix with the code of the discharging inpatient department, i.e. the department that reported the classification case in batch 274 to the PHC, and the cost is reported in SND=6c.