|
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 |
NOTIF_TAT_TIME_STANDARD_C_NAME |
VARCHAR |
No |
|
|
|
| The timeliness standard category ID that corresponds to this notification requirement. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Operational |
| Medicare Advantage |
|
|
| 4 |
APPEAL_GRV_LETTER_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| The notification type category ID for this notification requirement. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Acknowledgement |
| Extension Taken |
| Dismissal |
| Upheld Decision |
| Overturned Decision |
| Request to Expedite Denial |
| Partially Overturned Decision |
| Request to Expedite Approval |
| Extension Denial |
| Decision Effectuation |
| Grievance Resolution |
| Upheld Dismissal |
| Vacated Dismissal |
|
|
| 5 |
NOTIF_TAT_RECIP_CLASS_ID |
VARCHAR |
No |
|
|
|
| The unique ID of the recipient class that this notification is required to be sent to. |
|
|
| 6 |
NOTIF_TAT_RECIP_CLASS_ID_EVENT_NAME |
VARCHAR |
No |
|
|
|
|
| 7 |
NOTIF_TAT_METHOD_C_NAME |
VARCHAR |
No |
|
|
|
| The category ID for how this notification is required to be sent. (Oral vs Written) |
| May contain organization-specific values: No |
| Category Entries: |
| Written |
| Oral |
| Oral or Written |
|
|
| 8 |
NOTIF_TAT_DUE_UTC_DTTM |
DATETIME (UTC) |
No |
|
|
|
| The date and time that this notification requirement is due. Stored in UTC. |
|
|
| 9 |
NOTIF_TAT_OCCUR_UTC_DTTM |
DATETIME (UTC) |
No |
|
|
|
| The date and time that this notification was submitted. NULL indicates that the notification is still outstanding. Stored in UTC. |
|
|
| 10 |
NOTIF_LETTER |
VARCHAR |
No |
|
|
|
| The letter GUID (I TAG 5020) that satisfies this notification requirement. |
|
|
| 11 |
NOTIF_CALL_COMM_ID |
VARCHAR |
No |
|
|
|
| The unique ID of the communication that satisfies this notification requirement. |
|
|
| 12 |
NOTIF_TAT_DUE_LOCAL_DTTM |
DATETIME (Attached) |
No |
|
|
|
| The date and time that this notification requirement is due. Stored in the time zone determined by column APPEAL_GRV.TAT_RPT_TIME_ZONE_C. |
|
|
| 13 |
NOTIF_TAT_OCCUR_LOCAL_DTTM |
DATETIME (Attached) |
No |
|
|
|
| The date and time that this notification was submitted. NULL indicates that the notification is still outstanding. Stored in the time zone determined by column APPEAL_GRV.TAT_RPT_TIME_ZONE_C. |
|
|