|
Name |
Type |
Discontinued? |
|
1 |
ABN_NOTE_ID |
VARCHAR |
No |
|
|
|
The unique ID of the note (HNO) record that contains the Advance Beneficiary Notice (ABN) information. |
|
|
2 |
ABN_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
The status of the ABN record. |
May contain organization-specific values: Yes |
Category Entries: |
Notice Triggered |
Notice Printed |
ABN Signed, Service Accepted (Option 1 - Bill Medicare) |
ABN Annotated (Patient Refused to Sign) |
ABN Void (Order Canceled or Changed, ABN No Longer Applies) |
ABN Signed, Service Declined |
ABN Refused--Noted on form, Signed by Two Witnesses |
ABN Refused--Service Not Performed |
ABN Signed, Service Accepted (Option 2 - Do not bill Medicare) |
Auto Voided (Order canceled or removed) |
Diagnoses Reviewed |
E-Signed, Document Status Not Updated |
Released to Patient Portal |
ABN Error--Recreated, Pending Signature |
|
|
3 |
USER_ID |
VARCHAR |
No |
|
|
|
The user who updated the ABN record. |
|
|
4 |
USER_ID_NAME |
VARCHAR |
No |
|
|
|
The name of the user record. This name may be hidden. |
|
|
5 |
CREATE_TM |
DATETIME (Local) |
No |
|
|
|
The time the ABN record was created. |
|
|
6 |
INITIAL_USER_ID |
VARCHAR |
No |
|
|
|
The user who created the ABN record. |
|
|
7 |
INITIAL_USER_ID_NAME |
VARCHAR |
No |
|
|
|
The name of the user record. This name may be hidden. |
|
|
8 |
ABN_TEMPLT_C_NAME |
VARCHAR |
No |
|
|
|
The ABN template used for the ABN form. |
May contain organization-specific values: Yes |
Category Entries: |
English, Provider ABN |
Lab ABNs |
Spanish, Provider ABN |
Non-Participating ABN |
Dually Eligible Beneficiaries ABN |
E-Signature Template |
|
|
9 |
ABN_PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
10 |
ABN_PR_EST |
VARCHAR |
No |
|
|
|
The estimated price for all procedures listed on the ABN. |
|
|
11 |
ABN_COMM_BARRIER_C_NAME |
VARCHAR |
No |
|
|
|
The communication barrier encountered with the patient involving the ABN. |
May contain organization-specific values: Yes |
|
|
12 |
ABN_UPDATE_INS_DTTM |
DATETIME (Local) |
No |
|
|
|
The instant when the ABN was updated. |
|
|
13 |
ABN_CMT |
VARCHAR |
No |
|
|
|
|
14 |
ABN_CHECK_FROM_DATE |
DATETIME |
No |
|
|
|
Stores the starting date of service for which the ABN checks are performed. |
|
|
15 |
ABN_CHECK_TO_DATE |
DATETIME |
No |
|
|
|
Stores the date till which the ABN checks are performed. |
|
|
16 |
ABN_PLAN_ID |
NUMERIC |
No |
|
|
|
Stores the unique ID of the linked treatment or therapy plan. |
|
|
17 |
PAT_CSN |
NUMERIC |
No |
|
|
|
Stores the contact serial number (CSN) for the telephone encounter used for follow up. |
|
|
18 |
REPLACED_ABN_ID |
VARCHAR |
No |
|
|
|
If this ABN was regenerated from another ABN, this column contains the ID of the original |
|
|
19 |
REPLACE_REASON_C_NAME |
VARCHAR |
No |
|
|
|
The reason that the ABN was regenerated. |
May contain organization-specific values: No |
Category Entries: |
Price Increase |
Price Decrease |
Department Change (same revenue location) |
Department Change (different revenue location) |
Procedure or Diagnosis or Order Mismatch (Px or Dx or Ord is now resolved) |
Order Released |
Order Resolved |
Procedure or Order Mismatch (Px or Dx or Ord is now resolved) |
ABN Restore Utility |
|
|