|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the claim info 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 |
START_VISIT_LEVEL |
VARCHAR |
No |
|
|
|
Visit level submitted on the claim to be processed by the analyzer interface |
|
|
4 |
END_VISIT_LEVEL |
VARCHAR |
No |
|
|
|
Final visit level after the analyzer makes any adjustments. |
|
|
5 |
START_HCPCS |
VARCHAR |
No |
|
|
|
Procedure code submitted on the claim to be processed by the analyzer. |
|
|
6 |
END_HCPCS |
VARCHAR |
No |
|
|
|
Final procedure code after the analyzer makes any adjustments. |
|
|
7 |
FINAL_PSCA |
VARCHAR |
No |
|
|
|
The final PSCA (Proportional Standard Cost Allocation) assigned to this claim taking into consideration all the reason for visit diagnosis codes, age, and gender of the patient. |
|
|
8 |
VISIT_REASON_PSCA |
VARCHAR |
No |
|
|
|
The PSCA (Proportional Standard Cost Allocation) assigned to each reason for visit code taking into consideration the age and gender of the patient. |
|
|
9 |
DIAGNOSTIC_CATEGORY |
VARCHAR |
No |
|
|
|
An array of the diagnostic test categories on the claim found by the analyzer. |
|
|
10 |
PSCA_WEIGHT |
VARCHAR |
No |
|
|
|
The final PSCA (Proportional Standard Cost Allocation) weight for this claim, based on all of the reason for visit diagnosis codes, as well as the patient's age and sex. |
|
|
11 |
DIAGNOSTIC_CATEGORY_WEIGHT |
VARCHAR |
No |
|
|
|
The weight for each diagnostic category found on this claim, based on all line-level procedure codes representing the ancillary services ordered for the patient. |
|
|
12 |
COMPLEXITY_WEIGHT |
VARCHAR |
No |
|
|
|
The final patient complexity weight for this claim, based on the principal diagnosis, all secondary diagnosis codes, and all external cause of injury diagnosis codes. |
|
|
13 |
TOTAL_WEIGHT |
VARCHAR |
No |
|
|
|
The total weight used to assign the final visit level. |
|
|