|
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 |
COMM_STAT_C_NAME |
VARCHAR |
No |
|
|
|
The Interface communication status. |
May contain organization-specific values: No |
Category Entries: |
Successful |
Communication timed out |
Communication failed |
License for interface not found |
Required data missing |
No service lines were sent out |
Invalid diagnosis or procedure type |
|
|
4 |
GROUPER_RETURN_CODE |
VARCHAR |
No |
|
|
|
The Grouper Return Code field from APC Grouper output fields. |
|
|
5 |
GROUPER_TYPE |
VARCHAR |
No |
|
|
|
The Grouper Type field from APC Grouper output fields. |
|
|
6 |
GROUPER_VERSION |
VARCHAR |
No |
|
|
|
The Grouper Version field from APC Grouper output fields. |
|
|
7 |
PAT_VISIT_TYPE |
VARCHAR |
No |
|
|
|
The Patient or Visit Type field from APC Grouper output fields. |
|
|
8 |
APC_STATUS_CODE |
VARCHAR |
No |
|
|
|
The ambulatory payment classification (APC) status code field from APC grouper output fields. |
|
|
9 |
PRICER_RETURN_CODE |
VARCHAR |
No |
|
|
|
The Pricer Return Code field from APC Pricer output fields. |
|
|
10 |
PRICER_TYPE |
VARCHAR |
No |
|
|
|
The Pricer Type field from APC Pricer output fields. |
|
|
11 |
BASE_APC_REIMB |
VARCHAR |
No |
|
|
|
The Base APC Reimbursement field from APC Pricer output fields. |
|
|
12 |
PAT_COPAY |
VARCHAR |
No |
|
|
|
The Patient Co-payment field from APC Pricer output fields. |
|
|
13 |
OUTLIER_PMT |
VARCHAR |
No |
|
|
|
The Outlier Payment field from APC Pricer output fields. |
|
|
14 |
PPS_CHRGS |
VARCHAR |
No |
|
|
|
The PPS Charges field from APC Pricer output fields. |
|
|
15 |
PPS_PMT |
VARCHAR |
No |
|
|
|
The PPS Payment field from APC Pricer output fields. |
|
|
16 |
TRANS_COR_HOLD_HARM |
VARCHAR |
No |
|
|
|
The Transitional Corridor/Hold Harmless Add-on field from APC Pricer output fields. |
|
|
17 |
CLM_DEDUCT |
VARCHAR |
No |
|
|
|
The Claim Deductible field from APC Pricer output fields. |
|
|
18 |
TOTAL_APC_REIMB |
VARCHAR |
No |
|
|
|
The Total APC Reimbursement field from APC Pricer output fields. |
|
|
19 |
OUTLIER_FLAG |
VARCHAR |
No |
|
|
|
The Outlier Flag field from APC Pricer output fields. |
|
|
20 |
BASE_RATE_FLAG |
VARCHAR |
No |
|
|
|
The Base Rate Flag field from APC Pricer output fields. |
|
|
21 |
COST_REDUCT_FACTOR |
VARCHAR |
No |
|
|
|
The Cost Reduction Factor field from APC Pricer output fields. |
|
|
22 |
RURAL |
VARCHAR |
No |
|
|
|
The Rural field from APC Pricer output fields. |
|
|
23 |
OUTPAT_RCC |
VARCHAR |
No |
|
|
|
The outpatient ratio of cost to charge (RCC) field from APC pricer output fields. |
|
|
24 |
MARKUP_DISCNT_FACT |
VARCHAR |
No |
|
|
|
The Mark-up/Discount Factor field from APC Pricer output fields. |
|
|
25 |
PRICER_METHOD |
VARCHAR |
No |
|
|
|
The Method field from APC Pricer output fields. |
|
|
26 |
ACE_RETURN_CODE |
VARCHAR |
No |
|
|
|
The editor return code field from Ambulatory Code Editor (ACE), Medicare Code Editor (MCE), or Medicaid Outpatient Editor (MOE) output fields. |
|
|
27 |
ACE_VERSION |
VARCHAR |
No |
|
|
|
The editor version field from Ambulatory Code Editor (ACE), Medicare Code Editor (MCE), or Medicaid Outpatient Editor (MOE) output fields. |
|
|
28 |
ACE_RLS_VERSION |
VARCHAR |
No |
|
|
|
The ACE Release Version field from ACE output fields. |
|
|
29 |
NUM_CLM_ERRORS |
VARCHAR |
No |
|
|
|
The Number of Claim Errors field from ACE output fields. |
|
|
30 |
NUM_DX_ERRORS |
VARCHAR |
No |
|
|
|
The Number of Diagnosis Errors field from ACE output fields. |
|
|
31 |
NUM_PX_ERRORS |
VARCHAR |
No |
|
|
|
The Number of Procedure Errors field from ACE output fields. |
|
|
32 |
NUM_CCI_ERRORS |
VARCHAR |
No |
|
|
|
The Number of CCI Errors field from ACE output fields. |
|
|
33 |
NUM_ADMIT_DX_ERRORS |
VARCHAR |
No |
|
|
|
The Number of Admit Diagnosis Errors field from ACE output fields. |
|
|
34 |
TOT_NUM_ERRORS |
VARCHAR |
No |
|
|
|
The Total Number of Errors field from ACE output fields. |
|
|
35 |
ADMIT_DX_DISP |
VARCHAR |
No |
|
|
|
The Admit Diagnosis Disposition field from ACE output fields. |
|
|
36 |
OVERALL_CLM_DISP |
VARCHAR |
No |
|
|
|
The Overall Claim Disposition field from ACE output fields. |
|
|
37 |
OCE_ERROR_DISP |
VARCHAR |
No |
|
|
|
The OCE Error Disposition field from ACE output fields. |
|
|
38 |
CLM_ERROR_DETAIL |
VARCHAR |
No |
|
|
|
The Claim Error Detail field from ACE output fields. |
|
|
39 |
RSN_VIS_DX_ERRORS |
VARCHAR |
No |
|
|
|
The Reason for Visit Diagnosis Errors field from ACE output fields. |
|
|
40 |
ADJUD_TIME_DTTM |
DATETIME (Local) |
No |
|
|
|
The timestamp for each communication. |
|
|
41 |
OPTIMIZER_RET_VAL |
VARCHAR |
No |
|
|
|
The Optimizer return value. |
|
|
42 |
MOST_RECENT_ADJU_YN |
VARCHAR |
No |
|
|
|
Indicate if the adjudication is the most recent adjudication that we get APC values. |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
43 |
OUT_FROM_DATE |
VARCHAR |
No |
|
|
|
The admission from date of the claim. |
|
|
44 |
OUT_THRU_DATE |
VARCHAR |
No |
|
|
|
The admission through date of the claim. |
|
|
45 |
OUT_BIRTH_DATE |
VARCHAR |
No |
|
|
|
|
46 |
OUT_PROV |
VARCHAR |
No |
|
|
|
The provider of the claim. If your organization uses Tapestry's generic APC interface, this column saves the vendor identity ID of the claim. |
|
|
47 |
OUT_PAYOR |
VARCHAR |
No |
|
|
|
|
48 |
OUT_AGE |
VARCHAR |
No |
|
|
|
|
49 |
OUT_SEX |
VARCHAR |
No |
|
|
|
|
50 |
OUT_MRN |
VARCHAR |
No |
|
|
|
The patient medical record number. |
|
|
51 |
OUT_PAT_CONTROL_NUM |
VARCHAR |
No |
|
|
|
The patient control number. |
|
|
52 |
OUT_TOB |
VARCHAR |
No |
|
|
|
The type of bill of the claim. |
|
|
53 |
OUT_DISCHRG_STAT |
VARCHAR |
No |
|
|
|
The patient discharge status of the claim. |
|
|
54 |
OUT_TTL_CHRG |
VARCHAR |
No |
|
|
|
The total charge of the claim. |
|
|
55 |
OUT_LEN_STAY |
VARCHAR |
No |
|
|
|
The length of stay of the claim. |
|
|
56 |
OUT_ADMIT_SRC |
VARCHAR |
No |
|
|
|
The source of admission listed on the claim. |
|
|
57 |
OUT_ADMSN_DX |
VARCHAR |
No |
|
|
|
The admission diagnosis of the claim. |
|
|
58 |
OUT_ADMSN_TYPE |
VARCHAR |
No |
|
|
|
The admission type of the claim. |
|
|
59 |
OUT_NPI |
VARCHAR |
No |
|
|
|
The National Provider Identifier (NPI) of the claim. |
|
|
60 |
OUT_TAXONOMY |
VARCHAR |
No |
|
|
|
The taxonomy of the claim. |
|
|
61 |
OUT_COND_CODES |
VARCHAR |
No |
|
|
|
The condition codes of the claim. |
|
|
62 |
OUT_ACE_OVRIDE |
VARCHAR |
No |
|
|
|
The ACE override ID of the claim. |
|
|
63 |
CCI_EDIT_SUM |
VARCHAR |
No |
|
|
|
The Correct Coding Initiative (CCI) edit summary returned by the APC interface. |
|
|
64 |
OCE_EDIT_SUM |
VARCHAR |
No |
|
|
|
The outpatient code editor (OCE) edit summary returned by the APC interface. |
|
|
65 |
TRACE_INFO |
VARCHAR |
No |
|
|
|
The trace info of the claim. |
|
|
66 |
OUT_PAT_ID_NUM |
VARCHAR |
No |
|
|
|
The patient identity ID of the claim. |
|
|
67 |
OUT_PROV_ID_NUM |
VARCHAR |
No |
|
|
|
The provider identity ID of the claim. |
|
|
68 |
OUT_POS_ID_NUM |
VARCHAR |
No |
|
|
|
The ID of the Place of Service (POS) on the claim. |
|
|
69 |
OUT_CLM_SVC_DATE |
VARCHAR |
No |
|
|
|
|
70 |
OUT_AUTHCODE |
VARCHAR |
No |
|
|
|
|
71 |
OUT_ADMIT_DATE |
VARCHAR |
No |
|
|
|
|
72 |
OUT_ESRD_ONSET_DATE |
VARCHAR |
No |
|
|
|
End-stage Renal Disease (ESRD) onset date sent to the Prospective Payment System (PPS) pricer. |
|
|
73 |
ALTERNATE_HHRG |
VARCHAR |
No |
|
|
|
Alternate home health resource group (HHRG) for home health agency (HHA) pricer. |
|
|
74 |
ALTERNATE_HHRG_FLAG |
VARCHAR |
No |
|
|
|
|
75 |
HOME_HEALTH_RES_GRP |
VARCHAR |
No |
|
|
|
HHRG - Home Health Resource Group. |
|
|
76 |
NON_RESRC_SUPPLIES |
VARCHAR |
No |
|
|
|
Non-resource supplies code. |
|
|
77 |
TREATMNT_AUTH_VALID |
VARCHAR |
No |
|
|
|
Treatment authorization code validity flag. |
|
|
78 |
MAJOR_DIAG_CATEGORY |
VARCHAR |
No |
|
|
|
Major Diagnostic Category. |
|
|
79 |
DRG |
VARCHAR |
No |
|
|
|
Diagnostic Related Group (DRG). |
|
|
80 |
ALTERNATE_DRG |
VARCHAR |
No |
|
|
|
Alternate diagnosis related group (DRG) |
|
|
81 |
RIC |
VARCHAR |
No |
|
|
|
Rehabilitation Impairment Category. |
|
|
82 |
CLINICAL_CMG |
VARCHAR |
No |
|
|
|
Original/Clinical Casemix Group. |
|
|
83 |
HIPPS |
VARCHAR |
No |
|
|
|
Health Insurance Prospective Payment System (HIPPS) code |
|
|
84 |
COMORBIDITY_CODE |
VARCHAR |
No |
|
|
|
Comorbidity code used for health insurance prospective payment system (HIPPS) assignment. |
|
|
85 |
ALTERNATE_PMT |
VARCHAR |
No |
|
|
|
|
86 |
ALT_ADDON_PMT |
VARCHAR |
No |
|
|
|
Alternate add-on payment. |
|
|
87 |
COMORBIDITY_CAT |
VARCHAR |
No |
|
|
|
|
88 |
QUALITY_FLAG |
VARCHAR |
No |
|
|
|
|
89 |
ADJUSTED_BASE_RATE |
VARCHAR |
No |
|
|
|
Adjusted base rate without patient-case mix adjustment. |
|
|
90 |
ADJUSTED_OUTL_MAP |
VARCHAR |
No |
|
|
|
Outlier services Medicare anticipated payment used for cost outlier calculation. |
|
|
91 |
AVG_PERTREAT |
VARCHAR |
No |
|
|
|
Actual amount of formerly separately payable services per dialysis treatment on monthly bill. |
|
|
92 |
AVG_PERTREAT_BLEND |
VARCHAR |
No |
|
|
|
Predicted amount of separately payable services per dialysis treatment on monthly bill. |
|
|
93 |
DISPENSE_FEE |
VARCHAR |
No |
|
|
|
Dispensing fee for oral-only drugs with an injectable equivalent. |
|
|
94 |
FIXED_LOSS_AMT |
VARCHAR |
No |
|
|
|
Fixed dollar loss amount that is added to the predicted Medicare Allowable Payment to determine the cost outlier threshold. |
|
|
95 |
MONTHLY_SERV_AMT |
VARCHAR |
No |
|
|
|
Total amount of formerly separately payable services utilized for the cost outlier calculation. |
|
|
96 |
AGE_FCTR_SEP_PYBL |
VARCHAR |
No |
|
|
|
Separately payable portion of bundled age adjustment utilized for cost outlier calculation. |
|
|
97 |
BMI |
VARCHAR |
No |
|
|
|
The Body Mass Index (BMI) of the patient. |
|
|