|
Name |
Type |
Discontinued? |
|
| 1 |
RECORD_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the adjudication record. |
|
|
| 2 |
CONTACT_DATE_REAL |
FLOAT |
No |
|
|
|
| A unique contact date in decimal format. The integer portion of the number indicates the date of contact. The digits after the decimal distinguish different contacts on the same date and are unique for each contact on that date. For example, .00 is the first/only contact, .01 is the second contact, etc. |
|
|
| 3 |
CONTACT_DATE |
DATETIME |
No |
|
|
|
| The date of this contact in calendar format. |
|
|
| 4 |
O_PRES_CNTY_CODE_ID |
NUMERIC |
No |
|
|
|
|
| 5 |
O_PRES_CNTY_CODE_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 6 |
O_PRES_ALT_ID_QL_ID |
NUMERIC |
No |
|
|
|
| A code qualifying the Prescriber Alternate ID (A26-ZP). |
|
|
| 7 |
O_PRES_ALT_ID_QL_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 8 |
O_PRES_ALT_ID_S |
VARCHAR |
No |
|
|
|
| An alternate ID assigned to the prescriber (A26-ZP). |
|
|
| 9 |
O_PR_ALT_ID_ST_CODE_ID |
NUMERIC |
No |
|
|
|
| State/Province Code associated with the Prescriber Alternate ID Qualifier (A25-ZM) and the Prescriber Alternate ID (A26-ZP). |
|
|
| 10 |
O_PR_ALT_ID_ST_CODE_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 11 |
O_PR_ALT_ID_CT_CODE_ID |
NUMERIC |
No |
|
|
|
| Code of the country (B40-3A). |
|
|
| 12 |
O_PR_ALT_ID_CT_CODE_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 13 |
O_FACLTY_ID_QUAL_ID |
NUMERIC |
No |
|
|
|
| Code qualifying the Facility ID (336-8C). |
|
|
| 14 |
O_FACLTY_ID_QUAL_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 15 |
O_FAC_STRT_ADDR_ONE |
VARCHAR |
No |
|
|
|
| Free form text for Facility address line 1 information (B20-7M). |
|
|
| 16 |
O_FAC_STRT_ADDR_TWO |
VARCHAR |
No |
|
|
|
| Free form text for Facility address line 2 information (B21-7N). |
|
|
| 17 |
O_FAC_CNTRY_CODE_ID |
NUMERIC |
No |
|
|
|
| Code of the country (B37-1X). |
|
|
| 18 |
O_FAC_CNTRY_CODE_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 19 |
O_LAST_KNOWN_IIN |
VARCHAR |
No |
|
|
|
| Last known Card Issuer ID or Issuer Identification Number used for network routing used on a previous claim (B56-3E). |
|
|
| 20 |
O_LAST_KNOWN_PCN |
VARCHAR |
No |
|
|
|
| Last known number assigned by the processor used on a previous claim (B57-3F). |
|
|
| 21 |
O_LST_KNWN_GRP_ID_S |
VARCHAR |
No |
|
|
|
| Last known ID assigned to the cardholder group or employer group used on a previous claim (B58-3G). |
|
|
| 22 |
O_LST_KNWN_CH_ID_S |
VARCHAR |
No |
|
|
|
| Last known insurance ID assigned to the cardholder or identification number used by the plan used on a previous claim (B59-3H). |
|
|
| 23 |
O_LAST_P_CLAIM_YEAR |
VARCHAR |
No |
|
|
|
| Identifies the year used on a previous claim (B60-3J). |
|
|
| 24 |
O_LAST_P_CLAIM_MNTH |
VARCHAR |
No |
|
|
|
| Identifies the month used on a previous claim (B61-3K). |
|
|