|
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 |
GRIEVANCE_ROOT_CAUSE_C_NAME |
VARCHAR |
No |
|
|
|
| One of the root causes of a grievances. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Administrative Errors |
| Insufficient Training |
| Substandard Medical Equipment |
| Insufficient Resources |
| Poor Coordination Between Providers |
| Insufficient Member Support |
| Inadequate Policies |
|
|