AP_CLM_PX_BENEFIT_ROUTING

Description: |
This table contains benefits routing information for adjudicated claim procedures.

Primary Key

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

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | TX_ID | NUMERIC | No |
The unique identifier (.1 item) for the transaction record.
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 | REMITTANCE_CAT_C_NAME | VARCHAR | No |
The payment type of the benefit accumulation routing line.
May contain organization-specific values: No
Category Entries:
Deductible
Coinsurance
Copay
Not Covered
4 | ROUTING_BEN_FUNCTION_C_NAME | VARCHAR | No |
The function of the benefit accumulation routing line.
May contain organization-specific values: Yes
Category Entries:
Pre-Benefit Penalty
Coverage Limit
Maximum Out of Pocket
Preventive Care Limit
Deductible
Core Payment
Bonus Care
Routine Care Allowance
Reserve Period
5 | ROUTING_FUNCTION_ORDER | INTEGER | No |
The function order of the benefit accumulation routing line.
6 | ROUTING_AMOUNT | NUMERIC | No |
The amount of the benefit accumulation routing line.