|
Name |
Type |
Discontinued? |
|
1 |
TX_ID |
NUMERIC |
No |
|
|
|
The unique ID of the AP Claim procedure transaction. |
|
|
2 |
PAT_PAY_CMP_CMG |
VARCHAR |
No |
|
|
|
The component or component group used to determine the patient portion on service line of the AP claim. |
|
|
3 |
PAT_PAY_CMP_CMG_COMPONENT_INDEX_NAME |
VARCHAR |
No |
|
|
|
The name of the component index record |
|
|
4 |
PAT_PAY_CML_LN |
VARCHAR |
No |
|
|
|
The line of the adjudication table that was used to determine the patient portion of the service line on the AP Claim. |
|
|
5 |
PAT_PAY_NET |
VARCHAR |
No |
|
|
|
The network status of the service line on the AP claim. This column can be joined to column IN_OUT_NET_C in table ZC_IN_OUT_NET in order to translate the category value to the corresponding name or abbreviation. |
|
|
6 |
PAT_PAY_CMT |
NUMERIC |
No |
|
|
|
The benefit tier that was used to determine the patient portion of the service line on the AP Claim. |
|
|
7 |
PAT_PAY_CMT_COMPON_TIER_NAME |
VARCHAR |
No |
|
|
|
The name of the tier record. |
|
|
8 |
PAT_PAY_RFL |
NUMERIC |
No |
|
|
|
The referral attached to the AP claim. |
|
|
9 |
PAT_PAY_CMA |
NUMERIC |
No |
|
|
|
The adjudication formula used to determine the patient portion of the service on the AP claim. |
|
|
10 |
PAT_PAY_CMA_ADJUD_FORMULA_NAME |
VARCHAR |
No |
|
|
|
The name of the adjudication formula |
|
|
11 |
PAT_PAY_CMK |
NUMERIC |
No |
|
|
|
The benefit package used to determine the patient portion of the service line on the AP Claim. |
|
|
12 |
PAT_PAY_CMK_BENEFIT_PACKAGE_NM |
VARCHAR |
No |
|
|
|
The name of the benefit package. |
|
|
13 |
PAT_PAY_EPP_BENEFIT_PLAN_NAME |
VARCHAR |
No |
|
|
|
The name of the benefit plan record. |
|
|
14 |
PAT_PAY_COPAY_CAT |
VARCHAR |
No |
|
|
|
The copay category used in adjudicating the service line of the AP claim. This column will be deprecated in a future release and replaced by the Clarity column AP_CLAIM_PROC_2.PAT_PAY_COPAY_SERVICE_TYPE_ID. |
|
|
15 |
PAT_PAY_DEP_SPEC |
INTEGER |
No |
|
|
|
The department specialty of the AP claim. This column will be deprecated in a future release and replaced by the Clarity column AP_CLAIM_PROC_2.PAT_PAY_SPECIALTY_DEP_C. |
|
|
16 |
PAT_PAY_PT_AMT |
VARCHAR |
No |
|
|
|
The patient portion for the service line on the AP claim. |
|
|
17 |
PAT_PAY_SRC |
VARCHAR |
No |
|
|
|
The source of the copay or coinsurance value for the service line on the AP claim. If equal to 1, the value comes from the benefit plan. If equal to a value other than 1, the value comes from a coverage-level override. This column will be deprecated in a future release and replaced by the Clarity column AP_CLAIM_PROC_2.PAT_PAY_COPAY_AMT_SRC_C. |
|
|
18 |
PAT_PAY_COPAY_FLAG |
VARCHAR |
No |
|
|
|
Stores 1 if the copay was collected at check-in. This column will be deprecated in a future release and replaced by the Clarity column AP_CLAIM_PROC_2.PAT_PAY_COPAY_COL_SRC_C. |
|
|
19 |
PAT_PAY_AUTH |
INTEGER |
No |
|
|
|
Indicates whether authorization is required for the service line on the AP Claim. |
|
|
20 |
PAT_PAY_CFR |
VARCHAR |
No |
|
|
|
The benefit referral classifier record that was used to determine the patient portion of the service line on the AP Claim. |
|
|
21 |
PAT_PAY_CFR_CLASSIFIER_NAME |
VARCHAR |
No |
|
|
|
The title of the classifier record. |
|
|
22 |
PAT_PAY_RFL_LST |
VARCHAR |
No |
|
|
|
The list of referrals associated with the service line on the AP Claim. This column will be deprecated in a future release and replaced by the Clarity table AP_CLM_PX_PAT_PAY_RFL. |
|
|
23 |
PAT_PAY_CML |
NUMERIC |
No |
|
|
|
The adjudication table used to determine the patient portion of the service line on the AP Claim. |
|
|
24 |
PAT_PAY_CML_ADJ_TABLE_NAME |
VARCHAR |
No |
|
|
|
The name of the adjudication table. |
|
|
25 |
PAT_PAY_LFTM_MAX_EX |
INTEGER |
No |
|
|
|
Stores 1 if the patient's lifetime maximum has been exceeded and null otherwise. |
|
|
26 |
PAT_PAY_QTY |
VARCHAR |
No |
|
|
|
The service line quantity used to adjudicate the AP Claim. |
|
|
27 |
ALWD_AMT_ADJ_CMP |
VARCHAR |
No |
|
|
|
The component or component group from the contract that was used to adjudicate the allowed amount of the service on the AP Claim. |
|
|
28 |
ALWD_AMT_ADJ_CMP_COMPONENT_INDEX_NAME |
VARCHAR |
No |
|
|
|
The name of the component index record |
|
|
29 |
ALWD_AMT_ADJ_NCC |
NUMERIC |
No |
|
|
|
The vendor contract record that was used to determine the allowed amount of the service line on the AP Claim. |
|
|
30 |
ALWD_AMT_ADJ_NCC_CONTRACT_NAME |
VARCHAR |
No |
|
|
|
The name of the Vendor-Network contract. |
|
|
31 |
ALWD_AMT_NCC_DAT |
DATETIME |
No |
|
|
|
The contact date of the vendor contract that was used to determine the allowed amount of the service line on the accounts payable claim record. |
|
|
32 |
ALWD_AMT_ADJ_NCC_LN |
VARCHAR |
No |
|
|
|
The line of the vendor contract that was used to determine the allowed amount of the service line on the AP Claim. |
|
|
33 |
ALWD_AMT_ADJ_EAP_PROC_NAME |
VARCHAR |
No |
|
|
|
The name of each procedure. |
|
|
34 |
ALWD_AMT_ADJ_ERX_MEDICATION_NAME |
VARCHAR |
No |
|
|
|
The name of this medication record. |
|
|
35 |
ALWD_AMT_ADJ_DRG |
VARCHAR |
No |
|
|
|
The DRG record used to determine the allowed amount of the service line on the AP Claim. |
|
|
36 |
ALWD_AMT_ADJ_DRG_DRG_NAME |
VARCHAR |
No |
|
|
|
The name of the Diagnoses Related Group name. |
|
|
37 |
ALWD_AMT_ADJ_CMC_COMP_GRP_NAME |
VARCHAR |
No |
|
|
|
The name for the whole claim component group. |
|
|
38 |
ALWD_AMT_ADJ_CMC_LN |
VARCHAR |
No |
|
|
|
The service line from the AP Claim that matched the whole claim component group. |
|
|
39 |
SECTION_340B_YN |
VARCHAR |
No |
|
|
|
Stores Y or N that indicates whether or not the drug was dispensed under the Section 340B Program for NDCs. |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
40 |
COB_AMOUNT |
NUMERIC |
No |
|
|
|
The calculated Coordination of Benefits (COB) amount for the service line. |
|
|
41 |
MOB_AMOUNT |
NUMERIC |
No |
|
|
|
The calculated Maintenance of Benefits (MOB) amount for the service line. |
|
|
42 |
SRC_TYPE_OF_SVC_C_NAME |
VARCHAR |
No |
|
|
|
The data source for the type of service. |
May contain organization-specific values: No |
Category Entries: |
NO_TOS |
TOS_FROM_PROCEDURE |
TOS_FROM_MODIFIER |
TOS_FROM_USER |
|
|
43 |
CLM_BEN_BKT_DATE |
DATETIME |
No |
|
|
|
The date the claim was applied to a benefit bucket. |
|
|
44 |
PRS_CRWN_INLAY_CD_C_NAME |
VARCHAR |
No |
|
|
|
This is the prosthesis, crown, or inlay code for the service. |
May contain organization-specific values: No |
Category Entries: |
I - Initial Placement |
R - Replacement |
|
|
45 |
PRIOR_PLACEMENT_DT |
DATETIME |
No |
|
|
|
This stores the prior placement date (PPD) for a dental claim. The PPD is used for replacement procedures to note when the prosthesis being replaced was previously installed. |
|
|
46 |
APPLIANCE_PLACE_DT |
DATETIME |
No |
|
|
|
The date orthodontic appliances were placed. |
|
|
47 |
REPLACEMENT_DT |
DATETIME |
No |
|
|
|
Date when orthodontic appliance was replaced. |
|
|
48 |
AMBU_TXPORT_WT |
NUMERIC |
No |
|
|
|
The weight of the patient during ambulance transport. |
|
|
49 |
AMBU_TXPORT_RSN_C_NAME |
VARCHAR |
No |
|
|
|
The ambulance transport reason code. |
May contain organization-specific values: Yes |
Category Entries: |
Nearest Facility for Care of Symptoms, Complaints, or Both |
For the Benefit of a Preferred Physician |
For the Nearness of Family Members |
For the Care of a Specialist or for Availability of Specialized Equipment |
Rehabilitation Facility |
|
|
50 |
AMBU_TXPORT_DIST |
NUMERIC |
No |
|
|
|
The ambulance transport distance. |
|
|
51 |
AMBU_PAT_CNT |
INTEGER |
No |
|
|
|
The number of patients in the ambulance. |
|
|
52 |
AMBU_PICK_UP_CITY |
VARCHAR |
No |
|
|
|
The city of the ambulance pick-up location. |
|
|
53 |
AMBU_PICK_UP_STAT_C_NAME |
VARCHAR |
No |
|
|
|
The state of the ambulance pick-up location. |
May contain organization-specific values: Yes |
|
|
54 |
AMBU_PICK_UP_ZIP |
VARCHAR |
No |
|
|
|
The zip code of the ambulance pick-up location. |
|
|
55 |
AMBU_DROP_OFF_CITY |
VARCHAR |
No |
|
|
|
The city of the ambulance drop-off location. |
|
|
56 |
AMBU_DROP_OFF_STA_C_NAME |
VARCHAR |
No |
|
|
|
The state of the ambulance drop-off location. |
The category values for this column were already listed for column: AMBU_PICK_UP_STAT_C_NAME |
|
|
57 |
AMBU_DROP_OFF_ZIP |
VARCHAR |
No |
|
|
|
The zip code of the ambulance drop-off location. |
|
|
58 |
AMBU_DROP_OFF_NAME |
VARCHAR |
No |
|
|
|
The name of the ambulance drop-off location. |
|
|
59 |
AMBU_PICK_UP_COUNTRY_C_NAME |
VARCHAR |
No |
|
|
|
Stores the unique identifier for the country associated with the ambulance pick-up location. Join this column to ZC_COUNTRY_2 to translate to the country name. |
May contain organization-specific values: Yes |
|
|
60 |
AMBU_PICK_UP_COUNTY_C_NAME |
VARCHAR |
No |
|
|
|
Stores the unique identifier for the county associated with the ambulance pick-up location. Join this column ZC_COUNTY_2 to translate to the county name. |
May contain organization-specific values: Yes |
|
|
61 |
AMBU_PICK_UP_DISTRICT_C_NAME |
VARCHAR |
No |
|
|
|
Stores the unique identifier for the district associated with the ambulance pick-up location. Join this column to ZC_DISTRICT to translate to the district name. |
May contain organization-specific values: Yes |
|
|
62 |
AMBU_PICK_UP_HOUSE_NUM |
VARCHAR |
No |
|
|
|
Stores the house number associated with the ambulance pick-up location. |
|
|
63 |
AMBU_DROP_OFF_COUNTRY_C_NAME |
VARCHAR |
No |
|
|
|
Stores the unique identifier for the country associated with the ambulance drop-off location. Join this column to ZC_COUNTRY_2 to translate to the country name. |
The category values for this column were already listed for column: AMBU_PICK_UP_COUNTRY_C_NAME |
|
|
64 |
AMBU_DROP_OFF_COUNTY_C_NAME |
VARCHAR |
No |
|
|
|
Stores the unique identifier for the county associated with the ambulance drop-off location. Join this column to ZC_COUNTY_2 to translate to the county name. |
The category values for this column were already listed for column: AMBU_PICK_UP_COUNTY_C_NAME |
|
|
65 |
AMBU_DROP_OFF_DISTRICT_C_NAME |
VARCHAR |
No |
|
|
|
Stores the unique identifier for the district associated with the ambulance drop-off location. Join this column to ZC_DISTRICT to translate to the district name. |
The category values for this column were already listed for column: AMBU_PICK_UP_DISTRICT_C_NAME |
|
|
66 |
AMBU_DROP_OFF_HOUSE_NUM |
VARCHAR |
No |
|
|
|
Stores the house number associated with the ambulance drop-off location. |
|
|
67 |
CLAIM_LN_DTL_SVC_CLASS_C_NAME |
VARCHAR |
No |
|
|
|
Represents a clinical classification of the billed service. |
May contain organization-specific values: No |
Category Entries: |
Emergency |
Durable Medical Equipment |
Radiology |
Anesthesia |
Pharmacy |
Medical/Surgical Supplies |
Surgery |
Observation |
Nursery |
Room and Board |
Behavioral Health |
Ambulatory Surgery Center |
Oncology |
Cardiology |
Pulmonary |
Gastrointestinal |
Nuclear Medicine |
Electrocardiogram |
Urgent Care |
Home Health |
Ambulance |
Skilled Nursing |
Dialysis |
Physical Therapy |
Occupational Therapy |
Speech Pathology |
Rehabilitation |
Transplant |
Pharmacy - High Cost |
Blood |
Diagnostic Services |
Evaluation and Management |
Immunizations and Vaccines |
Medicine Services and Procedures |
Pathology and Laboratory Procedures |
Hearing Services |
Physician-Administered Medications |
Telemedicine |
Laboratory |
Home Hospice |
Inpatient Hospice |
Not Classified |
|
|
68 |
PAT_PAY_COPAY_SERVICE_TYPE_ID |
VARCHAR |
No |
|
|
|
The copay category used in adjudicating the service line. |
|
|
69 |
PAT_PAY_COPAY_SERVICE_TYPE_ID_SERVICE_TYPE_NAME |
VARCHAR |
No |
|
|
|
The name of this benefit service type. |
|
|
70 |
PAT_PAY_SPECIALTY_DEP_C |
VARCHAR |
No |
|
|
|
The specialty of the department where the service was rendered. |
|
|
71 |
PAT_PAY_COPAY_AMT_SRC_C |
INTEGER |
No |
|
|
|
The source of the copay amount as determined during adjudication. |
|
|
72 |
PAT_PAY_COPAY_COL_SRC_C |
INTEGER |
No |
|
|
|
The location where the copay was collected as determined during adjudication. |
|
|
73 |
PAT_PAY_PROC_SEQ_NUM |
INTEGER |
No |
|
|
|
The service's place in the adjudication order. |
|
|
74 |
PAT_PAY_COB_FROM_OTH_LINES_AMT |
NUMERIC |
No |
|
|
|
The coordination of benefits (COB) amount for this service that was transferred from other services on the same claim. |
|
|
75 |
PAT_PAY_COB_TO_OTH_LINES_AMT |
NUMERIC |
No |
|
|
|
The coordination of benefits (COB) amount for this service that was transferred to other services on the same claim. |
|
|
76 |
PAT_PAY_HRA_DEF_ID |
NUMERIC |
No |
|
|
|
The ID of the Health Reimbursement Arrangement (HRA) plan used to adjudicate the claim. |
|
|
77 |
PAT_PAY_HRA_DEF_ID_HRA_DEF_NAME |
VARCHAR |
No |
|
|
|
|
78 |
PAT_PAY_HRA_ACCUMULATE_BY_C |
INTEGER |
No |
|
|
|
The family type from the Health Reimbursement Arrangement (HRA) used when adjudicating the claim. |
|
|
79 |
PAT_PAY_ADJ_BEN_CHECK_TYPE_C |
INTEGER |
No |
|
|
|
The type of benefits check performed when calculating the patient portion. |
|
|
80 |
PAT_PAY_CHECKED_FOR_AUTH_FLAG |
INTEGER |
No |
|
|
|
Indicates whether authorizations were checked during adjudication. |
|
|
81 |
PAT_PAY_MATCHED_CMG_LINE |
INTEGER |
No |
|
|
|
The line of the component group that was matched during adjudication if the service was matched to a component group. |
|
|
82 |
PAT_PAY_CMP_CONTACT_DATE |
DATETIME |
No |
|
|
|
The contact date of the component that was matched during adjudication if the service was matched to a component. |
|
|
83 |
PAT_PAY_BEN_PLAN_CONTACT_DATE |
DATETIME |
No |
|
|
|
The contact date of the benefit plan that was used during adjudication. |
|
|