AP_CLAIM_PROC_5

Description:

This table summarizes data for AP Claims service lines, with each service line given one row. To link this table’s service line information back to a claim header, join this table to AP_CLAIM_PROC_IDS on the TX_ID column. If you need to report on claim service lines specific to Cost Sharing Reduction (CSR), join this table instead to AP_CLAIM_PROC_IDS_CSR on the TX_ID column.

Primary Key

Column Name	Ordinal Position
TX_ID	1

Column Information

	Name	Type	Discontinued?
1	TX_ID	NUMERIC	No
	The unique identifier (.1 item) for the transaction record.
2	PRIMARY_PAYER_CODE	VARCHAR	No
	The code specifying a federal non-Medicare program or other source that has primary responsibility for the payment of the Medicare beneficiary's medical bills relating to the service line on the claim. The presence of this code indicates that some other payer besides Medicare covered at least some portion of the charges.
3	HCPCS_BETOS_CODE	VARCHAR	No
	The Berenson-Eggers Type of Service (BETOS) classification assigned to the Healthcare Common Procedure Coding System (HCPCS) code for the service line.
4	FEDERAL_SERVICE_CODE	VARCHAR	No
	Code indicating the type of service, as defined in the CMS Medicare Carrier Manual, for this service line on the claim.