|
Name |
Type |
Discontinued? |
|
| 1 |
TX_ID |
NUMERIC |
No |
|
|
|
| The unique identifier for the transaction 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 |
AUTH_ID |
NUMERIC |
No |
|
|
|
| The matching Authorization ID for the AP Claims procedure. |
|
|
| 4 |
OPERATIONAL_MATCH_YN |
VARCHAR |
No |
|
|
|
| Whether the authorization is needed for the operational authorizations requirements. 'Y' indicates that this is needed to satisfy the operational authorizations requirements. 'N' or NULL indicate that it's not. |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes |
|
|
| 5 |
BENEFIT_MATCH_YN |
VARCHAR |
No |
|
|
|
| Whether the authorization is needed for the benefits authorizations requirements. 'Y' indicates that this is needed to satisfy the benefits authorizations requirements. 'N' or NULL indicate that it's not. |
| The category values for this column were already listed for column: OPERATIONAL_MATCH_YN |
|
|
| 6 |
VENDOR_CONTRACT_MATCH_YN |
VARCHAR |
No |
|
|
|
| Whether the authorization is needed for the vendor contract. 'Y' indicates that this is needed for the vendor contract. 'N' or NULL indicate that it's not. |
| The category values for this column were already listed for column: OPERATIONAL_MATCH_YN |
|
|
| 7 |
COUNTS_USED |
INTEGER |
No |
|
|
|
| The count used from this authorization. Note that this remains set even if the claim gets voided, or the service line is deleted. |
|
|
| 8 |
COUNTS_CALCULATED |
INTEGER |
No |
|
|
|
| The count used that is calculated during AP claim adjudication. |
|
|
| 9 |
COUNTS_SHARED_C_NAME |
VARCHAR |
No |
|
|
|
| Whether the service-level authorization count used is shared with a previously-adjudicated claim or service. |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes, shared with another claim |
| Yes, shared with another service |
|
|
| 10 |
AUTH_ATTACH_SOURCE_C_NAME |
VARCHAR |
No |
|
|
|
| Whether the linked authorization was added manually or by the system. |
| May contain organization-specific values: No |
| Category Entries: |
| Adjudication Referral Matching |
| Manual |
| EDI Claim File |
|
|
| 11 |
SUGGESTED_AUTH_YN |
VARCHAR |
No |
|
|
|
| Whether the attached authorization was flagged and suggested as a potential authorization to a user. |
| The category values for this column were already listed for column: OPERATIONAL_MATCH_YN |
|
|
