INV_EOB_PAID_CLM

Description: |
This table holds the claim level secondary information for a non-primary claim. It contains the paid amount and other secondary amounts other than claim adjustments (CAS).

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
INVOICE_ID | 1 |
LINE | 2 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | INVOICE_ID | NUMERIC | No |
The invoice record ID.
2 | LINE | INTEGER | No |
The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3 | EOB_CLM_CVG_ID | NUMERIC | No |
This item holds the coverage ID associated with American National Standards Institute secondary information that has been edited.
4 | EOB_CLM_PAID | NUMERIC | No |
The paid amount.
5 | EOB_CLM_CONTRACT | NUMERIC | No |
The contract amount.
6 | EOB_CLM_PAT_REMAIN | NUMERIC | No |
The remaining patient liability amount.
7 | EOB_CLM_NONCOVERED | NUMERIC | No |
The non-covered amount.
8 | EOB_CLM_MIA_01 | INTEGER | No |
This item holds the value for the covered days.
9 | EOB_CLM_MIA_02 | NUMERIC | No |
The Monetary amount from the adjudication of the claim.
10 | EOB_CLM_MIA_03 | INTEGER | No |
This item holds the value for the lifetime reserve days.
11 | EOB_CLM_MIA_04 | NUMERIC | No |
This is the diagnosis related group adjudication amount for the claim.
12 | EOB_CLM_MIA_05 | VARCHAR | No |
This is the claim payment remark code.
13 | EOB_CLM_MIA_06 | NUMERIC | No |
This is the disproportionate share amount.
14 | EOB_CLM_MIA_07 | NUMERIC | No |
This is the Medicare Secondary Payer pass-through amount.
15 | EOB_CLM_MIA_08 | NUMERIC | No |
This is the Prospective Payment System capital amount.
16 | EOB_CLM_MIA_09 | NUMERIC | No |
This is the Prospective Payment System capital, federal specific portion, Diagnosis Related Group amount.
17 | EOB_CLM_MIA_10 | NUMERIC | No |
This is the Prospective Payment System capital, hospital specific portion, Diagnosis Related Group amount.
18 | EOB_CLM_MIA_11 | NUMERIC | No |
This is the Prospective Payment System capital, disproportionate share, hospital Diagnosis Related Group amount.
19 | EOB_CLM_MIA_12 | NUMERIC | No |
This is the old capital amount
20 | EOB_CLM_MIA_13 | NUMERIC | No |
This is the Prospective Payment System capital indirect medical education claim amount.
21 | EOB_CLM_MIA_14 | NUMERIC | No |
This is the hospital specific Diagnosis Related Group amount.
22 | EOB_CLM_MIA_15 | INTEGER | No |
This is the cost report days for the claim.
23 | EOB_CLM_MIA_16 | NUMERIC | No |
This is the federal specific Diagnosis Related Group amount.
24 | EOB_CLM_MIA_17 | NUMERIC | No |
This is the Prospective Payment System Capital Outlier amount.
25 | EOB_CLM_MIA_18 | NUMERIC | No |
This is the indirect teaching amount.
26 | EOB_CLM_MIA_19 | NUMERIC | No |
This is the professional component amount billed but not payable.
27 | EOB_CLM_MIA_20 | VARCHAR | No |
This is the Claim Payment Remark Code.
28 | EOB_CLM_MIA_21 | VARCHAR | No |
This is the Claim Payment Remark Code.
29 | EOB_CLM_MIA_22 | VARCHAR | No |
This is the Claim Payment Remark Code.
30 | EOB_CLM_MIA_23 | VARCHAR | No |
This is the Claim Payment Remark Code.
31 | EOB_CLM_MIA_24 | NUMERIC | No |
This is the capital exception amount.
32 | EOB_CLM_MOA_01 | NUMERIC | No |
This is the reimbursement rate.
33 | EOB_CLM_MOA_02 | NUMERIC | No |
This is the claim Health Care Financing Common Procedural Coding System payable amount.
34 | EOB_CLM_MOA_03 | VARCHAR | No |
This is the Claim Payment Remark Code.
35 | EOB_CLM_MOA_04 | VARCHAR | No |
This is the Claim Payment Remark Code.
36 | EOB_CLM_MOA_05 | VARCHAR | No |
This is the Claim Payment Remark Code.
37 | EOB_CLM_MOA_06 | VARCHAR | No |
This is the Claim Payment Remark Code.
38 | EOB_CLM_MOA_07 | VARCHAR | No |
This is the Claim Payment Remark Code.
39 | EOB_CLM_MOA_08 | NUMERIC | No |
This is the End Stage Renal Disease payment amount.
40 | EOB_CLM_MOA_09 | NUMERIC | No |
This is the professional component amount billed but not payable.
41 | EOB_CLM_DATE | DATETIME | No |
The adjudication date.
42 | EOB_CLM_AMT_D8 | NUMERIC | No |
The discount amount.
43 | EOB_CLM_AMT_DY | NUMERIC | No |
The per day limit.
44 | EOB_CLM_AMT_F5 | NUMERIC | No |
The patient paid amount.
45 | CLM_EOB_AMT_T | NUMERIC | No |
The sales tax amount.
46 | EOB_CLM_AMT_T2 | NUMERIC | No |
The total amount before taxes.
47 | EOB_COINS_DAYS | INTEGER | No |
The coinsurance days.