|
Name |
Type |
Discontinued? |
|
1 |
TX_ID |
NUMERIC |
No |
|
|
|
The unique ID of the AP Claim procedure transaction. |
|
|
2 |
LINE |
INTEGER |
No |
|
|
|
The line number of the provider responsibility for this transaction record. |
|
|
3 |
PROV_RESP_AMT |
NUMERIC |
No |
|
|
|
The dollar amount for a specific provider responsibility. |
|
|
4 |
PRV_RESP_SRC_TP_C_NAME |
VARCHAR |
No |
|
|
|
The type of provider responsibility. |
May contain organization-specific values: No |
Category Entries: |
Submission Policy |
Before Benefit Penalty |
Denial Via EOB |
Not Covered By Plan |
Bundle Adjustment |
|
|
5 |
EOB_CODE_ID_EOB_CODE_NAME |
VARCHAR |
No |
|
|
|
The name of the processing code. |
|
|
6 |
PROV_RESP_OVRD_AMT |
NUMERIC |
No |
|
|
|
The user-entered override to the dollar amount a specific provider responsibility. If present, the value in this column overrides the value in PRV_RESP_AMT. |
|
|