APPEAL_GRV_UPHOLD_REASONS

Description:

Stores the reasons why the original decision was upheld for an appeal.

Primary Key

Column Name	Ordinal Position
APPEAL_GRV_ID	1
LINE	2

Column Information

	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	UPHOLD_REASON_C_NAME	VARCHAR	No
	The uphold reason category ID for the appeal. May contain organization-specific values: Yes Category Entries: Not Medically Necessary Not Covered Benefit No Timely Decision Conservative Options Available Invalid Billing Code Eligibility Recoupment of Payment