Reviewing your agreement and license specifications
First let’s look at standard contract language for the Health Plan Model.
Appendix B goes over the Licensing Model and definitions of terms. For your reporting purposes, the important thing to note is that, you will be reporting the number of Members for each end user/customer.
Definitions are provided for member, core and supporting products
Now let’s look at the language in your agreement that is specific to your organization's license. Schedule A-1 lists your legal contact and the AMA content that you are licensing.
After those details specific to your organization, you will find the tables listing your products.
Health Plans are generally listed in Table 4.3.
On the left, you will see the name of your product, solution or service. The next column will list which AMA content that you are licensing for that product. Then you will see the Unit of Licensure. For Health Plan, that is generally members. And then the Systems Array. And finally whether it is a supporting or core product.
In this example, you can see that the systems arrays are Medical Management and Data Management, it specifies that it is a Supporting Product, as opposed to a Core Product.
For reference to the rates, Appendix C, Table 3.1 lists the applicable rates at the time your agreement was signed.
So you look at Medical Management, over to Supporting product and this is the rate per member.
Gather your data and download a report template for the period that is due. There is a detailed article on Downloading the current report template.
Once you have downloaded the report template, copy and paste the end users location and units of licensure onto the report.
Our system will be applying the royalty rate and calculating the royalties owed.
There is a detailed article for completing and submitting a report in the Royalties Portal: Submitting a Report on the AMA Royalties Portal.