|
Name |
Type |
Discontinued? |
|
| 1 |
APPEAL_GRV_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the appeal/grievance 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 |
DISMISS_REASON_C_NAME |
VARCHAR |
No |
|
|
|
| The dismiss reason category ID for the appeal or grievance. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Filed Late |
| Missing Required Form |
| Withdrawn |
| Does Not Meet Criteria |
| Insufficient Information |
| No Denial on File |
| Denial Process Not Complete |
| Out of Jurisdiction |
| Missing Medical Records |
| Plan Agreed to Cover |
|
|