|
Name |
Type |
Discontinued? |
|
| 1 |
ACCUMULATION_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the accumulation record. |
|
|
| 2 |
LINE |
INTEGER |
No |
|
|
|
| The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
|
|
| 3 |
ACCUM_GROUP_ID |
NUMERIC |
No |
|
|
|
| The accumulation group associated with the accumulation instance. |
|
|
| 4 |
ACCUM_PREV_ACC_ID |
NUMERIC |
No |
|
|
|
| The ID of the previous accumulation applied to the associated accumulation group. |
|
|
| 5 |
ACCUM_PREV_ACC_LN |
INTEGER |
No |
|
|
|
| The line in related group 90 from the accumulation corresponding to the previous accumulation instance. |
|
|
| 6 |
ACCUM_APPLIED_AMT |
NUMERIC |
No |
|
|
|
| The amount applied to the associated accumulation group. |
|
|
| 7 |
ACCUM_RUNNING_TOTAL |
NUMERIC |
No |
|
|
|
| The running total for the associated ACG after this accumulation instance was added. |
|
|
| 8 |
ACCUMULATION_INSTANT_DTTM |
DATETIME (UTC) |
No |
|
|
|
| The instant this accumulation happened. |
|
|
| 9 |
TARGET_AMOUNT |
NUMERIC |
No |
|
|
|
| The amount that we attempt to accumulate towards the associated accumulation group (ACG). |
|
|
| 10 |
REVERSED_LINE |
INTEGER |
No |
|
|
|
| The line in this ACC's related group 90 which is reversed by this line. |
|
|
| 11 |
SEQUENCE_NUMBER |
INTEGER |
No |
|
|
|
| The position in the sequence of accumulation instances this line represents for the associated accumulation group. |
|
|
| 12 |
ACCUM_LIMIT_AMT |
NUMERIC |
No |
|
|
|
| The limit amount for the associated ACG when this accumulation instance was added. |
|
|
| 13 |
ADJUD_SEQ_NUM |
INTEGER |
No |
|
|
|
| The number of times the claim has been priced by the adjudicator when this accumulation instance was added. |
|
|
| 14 |
VISIT_ACCUM_GRP_ID |
NUMERIC |
No |
|
|
|
| The visit (represented by a Benefits Visit ACG, separate from the one accumulated to on this line) that was counted towards the Benefit Limit Mechanism ACG on this line. |
|
|
| 15 |
CARRY_FLAG_C_NAME |
VARCHAR |
No |
|
|
|
| Stores a category value representing the type of carryover workflow that resulted in the accumulation. |
| May contain organization-specific values: No |
| Category Entries: |
| Coverage to Coverage Carryover |
| 4th Quarter Carryover |
| Reversal |
| Reversed C2C Carryover |
| Reversed Q4 Carryover |
|
|
| 16 |
CARRY_FROM_COVERAGE_ID |
NUMERIC |
No |
|
|
|
| Stores the source coverage this accumulation was carried from if it is a result of coverage to coverage carryover. |
|
|
| 17 |
ACCUM_SERVICE_DATE |
DATETIME |
No |
|
|
|
| The service date at the time the accumulation line was generated (or, if it's a reversal line, the time the original accumulation line was generated). |
|
|
| 18 |
WAS_LIMIT_CHECKED_YN |
VARCHAR |
No |
|
|
|
| Says whether the limit was checked during adjudication when we originally calculated the accumulation amount |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes |
|
|
