|
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 |
|
|