UB_AUTH_NUM_SOURCE

Description: |
This table holds the authorization number source category indicating where the prior authorization or referral number for the UB (or institutional) claim service line was found.

Primary Key

Column Name | Ordinal Position |
--- | --- | ---
CLAIM_PRINT_ID | 1 |
GROUP_LINE | 2 |
VALUE_LINE | 3 |

Column Information

| Name | Type | Discontinued? |
--- | --- | --- | --- | ---
1 | CLAIM_PRINT_ID | NUMERIC | No |
The unique identifier (.1 item) for the claim print record.
2 | GROUP_LINE | INTEGER | No |
The line number for the information associated with this record.
3 | VALUE_LINE | INTEGER | No |
The line number of one of the multiple values associated with a specific group of data within this record.
4 | UB_AUTH_NUM_SOURCE_C_NAME | VARCHAR | No |
The auth number search precedence category ID identifying where the authorization number was found.
May contain organization-specific values: No
Category Entries:
None
Claim Info - Authorization Number (PB:CLM-341; HB:HAR-7053)
Referral - Effective Coverages Authorization Number (RFL-18062)
Referral - Default Authorization Number (RFL-60)
Referral - Effective Coverages Pre-Certification Number (RFL-18064)
Referral - Default Pre-Certification Number (RFL-18010)
Episode Authorization Code
Bed Days Table - Authorization Number (RFL-8513/8527)
Dental Plan - Authorization Number (DTP-302)
Referral - SAR/TAR (RFL-210/250/269)
Referral - Service Level Auths (ETR-118; AUT-18062)