|
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Withdrawn |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 |
|
|