|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the claim record. |
|
|
2 |
TOT_ADDL_ADJ |
NUMERIC |
No |
|
|
|
Stores the total additional adjustments for the claim. |
|
|
3 |
AP_CLAIM_IMPORT_SOURCE_C_NAME |
VARCHAR |
No |
|
|
|
Used to define the type of source a claim is imported from to drive reporting on the different use cases a single workflow type may have. |
May contain organization-specific values: No |
Category Entries: |
Historical System |
Repricing Source |
Delegated Payer |
Clearinghouse |
Other Internal Source |
Other External Source |
|
|
4 |
SOURCE_GROUP_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
5 |
SERVICE_DATE_FROM_LINE_YN |
VARCHAR |
No |
|
|
|
Indicates whether the service date was received at the header level, or was determined based on service lines. |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
6 |
NCH_CLAIM_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The National Claims History (NCH) code indicating the type of claim submitted. |
May contain organization-specific values: No |
Category Entries: |
Home Health Agency (HHA) claim |
Non swing bed Skilled Nursing Facility (SNF) claim |
Swing bed Skilled Nursing Facility (SNF) claim |
Hospital Outpatient claim |
Hospice claim |
Inpatient claim |
Inpatient Full Encounter claim |
Local carrier non-durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) claim |
Local carrier durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) claim |
Durable medical equipment regional carrier (DMERC); non-DMEPOS claim |
Durable medical equipment regional carrier (DMERC); DMEPOS claim |
|
|
7 |
PAID_CLM_FILE_INTEREST_AMT |
NUMERIC |
No |
|
|
|
The total interest amount from the file for an externally paid claim. |
|
|
8 |
PAID_CLM_FILE_PENALTY_AMT |
NUMERIC |
No |
|
|
|
The total penalty amount from the file for an externally paid claim. |
|
|