|
Name |
Type |
Discontinued? |
|
| 1 |
RECORD_ID |
NUMERIC |
No |
|
|
|
| The unique identifier 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 |
LINE |
INTEGER |
No |
|
|
|
| The line number for the information associated with this contact. Multiple pieces of information can be associated with this contact. |
|
|
| 4 |
CONTACT_DATE |
DATETIME |
No |
|
|
|
| The date of this contact in calendar format. |
|
|
| 5 |
O_OTH_PAY_CVG_T_ID |
NUMERIC |
No |
|
|
|
| NCPDP code identifying the type of 'Other Payer ID' (340-7C). |
|
|
| 6 |
O_OTH_PAY_CVG_T_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 7 |
O_OTH_PAY_ID_Q_ID |
NUMERIC |
No |
|
|
|
| NCPDP code qualifying the 'Other Payer ID' (340-7C). |
|
|
| 8 |
O_OTH_PAY_ID_Q_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 9 |
O_OTHER_PAYER_ID |
VARCHAR |
No |
|
|
|
| A unique ID assigned to the payer |
|
|
| 10 |
O_OTH_PAYER_DATE |
DATETIME |
No |
|
|
|
| Payment or denial date of the claim submitted to the other payer. Used for coordination of benefits. |
|
|
| 11 |
O_INT_CONTROL_NUM |
VARCHAR |
No |
|
|
|
| Number assigned by the processor to identify an adjudicated claim when supplied in payer-to-payer coordination of benefits only. |
|
|
| 12 |
CM_CT_OWNER_ID |
VARCHAR |
No |
|
|
|
| The Community ID (CID) of the instance that owns this contact. This is only populated if you use IntraConnect. |
|
|
| 13 |
O_OTHR_PAY_PROGR_ID |
NUMERIC |
No |
|
|
|
| The type of prescription benefit plan/program associated with the Other Payer (C47-9T). |
|
|
| 14 |
O_OTHR_PAY_PROGR_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|
| 15 |
O_OTHR_PAY_REC_ID_S |
VARCHAR |
No |
|
|
|
| Reconciliation ID (B98-34) as reported by the Other Payer for Paid/Accepted transactions OR for Information Reporting transactions, the designated default value for reporting a previous payer's rejected response as designated in the Other Payer Reject Code value(s) reported in the COB claim. |
|
|
| 16 |
O_OTH_PAY_TAX_EX_ID |
NUMERIC |
No |
|
|
|
| Code indicating the source of the percentage tax exempt status of the other payer's claim (D51-P7). |
|
|
| 17 |
O_OTH_PAY_TAX_EX_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
| The name of the list value. |
|
|