CL_RMT_CLM_ADJ

Description: |
This table contains the claim adjustment information from a remittance file. This information can be used to report claim level adjustments that cause the amount paid to differ from the amount originally charged.

Primary Key

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

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | IMAGE_ID | VARCHAR | No |
The unique ID of the remittance image 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 | REASON_CODE | VARCHAR | No |
This is the code identifying the detailed reason the adjustment was made.
4 | ADJUST_AMT | NUMERIC | No |
This is the currency amount of the adjustment.
5 | ADJUST_QTY | VARCHAR | No |
The adjustment quantity.
6 | CLM_ADJ_CD_C_NAME | VARCHAR | No |
This is the code identifying the general category of payment adjustment.
May contain organization-specific values: Yes
Category Entries:
Patient Responsibility
Contractual Obligation
Payor Initiated
Correction and Reversal
Other Adjustment