|
Name |
Type |
Discontinued? |
|
| 1 |
ACCUMULATION_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the accumulation record. |
|
|
| 2 |
GROUPING_BEN_VAR_ID |
NUMERIC |
No |
|
|
|
| Stores the benefit grouping matched to during this accumulation event. |
|
|
| 3 |
GROUPING_BEN_VAR_ID_BEN_VAR_NAME |
VARCHAR |
No |
|
|
|
| The name of the benefit variable. |
|
|
| 4 |
SERVICE_BEN_VAR_ID |
NUMERIC |
No |
|
|
|
| Stores the benefit service matched to during this accumulation event. |
|
|
| 5 |
SERVICE_BEN_VAR_ID_BEN_VAR_NAME |
VARCHAR |
No |
|
|
|
| The name of the benefit variable. |
|
|
| 6 |
AUTH_PRES_YN |
VARCHAR |
No |
|
|
|
| Stores whether an authorization was present during this accumulation event. |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes |
|
|
| 7 |
NET_LEVEL_PROV_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the network level matched to during this accumulation event. |
| May contain organization-specific values: Yes |
| Category Entries: |
| In |
| Out |
| Out of Area |
| N/A |
|
|
| 8 |
EAP_CODE_PROC_ID_PROC_NAME |
VARCHAR |
No |
|
|
|
| The name of each procedure. |
|
|
| 9 |
PX_QUANTITY_CNT |
NUMERIC |
No |
|
|
|
| Stores the procedure quantity for the service matched to during this accumulation event. |
|
|
| 10 |
PX_NUM_MINUTES_CNT |
INTEGER |
No |
|
|
|
| Stores the procedure number of minutes for the service matched to during this accumulation event. |
|
|
| 11 |
PX_NUM_DAYS_CNT |
INTEGER |
No |
|
|
|
| Stores the procedure number of days for the service matched to during this accumulation event. |
|
|
| 12 |
SERVICE_START_DATE |
DATETIME |
No |
|
|
|
| Stores the service start date for the service matched to during this accumulation event. |
|
|
| 13 |
SERVICE_END_DATE |
DATETIME |
No |
|
|
|
| Stores the service end date for the service matched to during this accumulation event. |
|
|
| 14 |
POS_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the place of service type for the service matched to during this accumulation event. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Telehealth - Provided in Patient's Home |
| Office |
| Home |
| Assisted Living Facility |
| Group Home |
| Mobile Unit |
| Temporary Lodging |
| Walk-in Retail Health Clinic |
| Place of Employment - Worksite |
| Off Campus - Outpatient Hospital |
| Urgent Care Facility |
| Inpatient Hospital |
| On Campus - Outpatient Hospital |
| Emergency Room - Hospital |
| Ambulatory Surgical Center |
| Birthing Center |
| Military Treatment Facility |
| Outreach Site/Street |
| Skilled Nursing Facility |
| Nursing Facility |
| Custodial Care Facility |
| Hospice |
| Adult Living Care Facility |
| Ambulance - Land |
| Ambulance - Air or Water |
| Independent Clinic |
| Federally Qualified Health Center |
| Inpatient Psychiatric Facility |
| Psychiatric Facility - Partial Hospitalization |
| Community Mental Health Center |
| Intermediate Care Facility/ Individuals with Intellectual Disabilities |
| Residential Substance Abuse Treatment Facility |
| Psychiatric Residential Treatment Center |
| Non-residential Substance Abuse Treatment Facility |
| Non-residential Opioid Treatment Facility |
| Mass Immunization Center |
| Comprehensive Inpatient Rehabilitation Facility |
| Comprehensive Outpatient Rehabilitation Facility |
| End-Stage Renal Disease Treatment Facility |
| Programs of All-Inclusive Care for the Elderly (PACE) Center |
| Public Health Clinic |
| Rural Health Clinic |
| Independent Laboratory |
| Other Place of Service |
| Pharmacy |
| Telehealth - Provided Other than in Patient's Home |
| School |
| Homeless Shelter |
| Indian Health Service Free-standing Facility |
| Indian Health Service Provider-based Facility |
| Tribal 638 Free-standing Facility |
| Tribal 638 Provider-based Facility |
| Prison/Correctional Facility |
|
|
| 15 |
REV_CODE_ID |
NUMERIC |
No |
|
|
|
| Stores the revenue code for the service matched to during this accumulation event. |
|
|
| 16 |
REV_CODE_ID_REVENUE_CODE_NAME |
VARCHAR |
No |
|
|
|
| The name of the revenue code. |
|
|
| 17 |
CNTRCT_AMOUNT_NUM |
NUMERIC |
No |
|
|
|
| Stores the contractual amount calculated for the service matched to during this accumulation event. |
|
|
| 18 |
RNDR_PROV_ID_PROV_NAME |
VARCHAR |
No |
|
|
|
| The name of the service provider. This item may be hidden in a public view of the CLARITY_SER table. |
|
|
| 19 |
ASSOC_POS_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
| The name of the revenue location. |
|
|
| 20 |
DISCH_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the discharge status for the claim during this accumulation event. |
| May contain organization-specific values: Yes |
|
|
| 21 |
ATT_PROV_ID_PROV_NAME |
VARCHAR |
No |
|
|
|
| The name of the service provider. This item may be hidden in a public view of the CLARITY_SER table. |
|
|
| 22 |
ASSOC_VENDOR_ID_VENDOR_NAME |
VARCHAR |
No |
|
|
|
|
| 23 |
ADJ_METHOD_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the adjudication method for the claim during this accumulation event. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Primary Coverage |
| Coordination of Benefits |
| Maintenance of Benefits |
| COB Savings |
| Preservation of Benefits |
| Claim-Level Coordination of Benefits |
| Claim-Level Maintenance of Benefits |
|
|
| 24 |
ASSOC_COVERAGE_ID |
NUMERIC |
No |
|
|
|
| Stores the coverage for the claim during this accumulation event. |
|
|
| 25 |
CLM_SPEC_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the specialty for the claim during this accumulation event. |
| May contain organization-specific values: Yes |
|
|
| 26 |
CLM_FORMAT_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the format for the claim during this accumulation event. |
| May contain organization-specific values: No |
| Category Entries: |
| CMS |
| UB |
| Rx |
|
|
| 27 |
TYPE_OF_BILL |
VARCHAR |
No |
|
|
|
| Stores the type of bill for the claim during this accumulation event. |
|
|
| 28 |
ADMISSION_DATE |
DATETIME |
No |
|
|
|
| Stores the admission date for the claim during this accumulation event. |
|
|
| 29 |
DISCHARGE_DATE |
DATETIME |
No |
|
|
|
| Stores the discharge date for the claim during this accumulation event. |
|
|
| 30 |
ADM_NUM_DAYS_CNT |
INTEGER |
No |
|
|
|
| Stores the length of stay (days) for the claim during this accumulation event. |
|
|
| 31 |
ACCUM_DATA_SOURCE_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the data source type for this accumulation event. |
| May contain organization-specific values: No |
| Category Entries: |
| Patient and Coverage |
| Manual Adjustment |
| MyChart Benefits Summary |
| AP Claim Service Line Temporary Data |
| AP Claim Service Line |
| Coverage Benefits |
|
|
| 32 |
TARGET_BEN_FUNCTION_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the target limit type that the accumulation can apply to. Used to determine which accumulation groups the accumulation can apply to. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Pre-Benefit Penalty |
| Coverage Limit |
| Maximum Out of Pocket |
| Preventive Care Limit |
| Deductible |
| Core Payment |
| Routine Care Allowance |
| Reserve Period |
|
|
| 33 |
ACCUMULATE_BY_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the what accumulation types this accumulation can apply to (I BEB 204 value). Used to determine which accumulation groups the accumulation can apply to. |
| May contain organization-specific values: No |
| Category Entries: |
| Account |
| Patient |
|
|
| 34 |
MOOP_DED_BEN_VAR_ID |
NUMERIC |
No |
|
|
|
| Stores the MOOP/Deductible type (CMW ID) that the accumulation can apply to. Used to determine which accumulation groups the accumulation can apply to. |
|
|
| 35 |
MOOP_DED_BEN_VAR_ID_BEN_VAR_NAME |
VARCHAR |
No |
|
|
|
| The name of the benefit variable. |
|
|