|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the claim info 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 |
AP_CLAIM_REVIEW_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The review type category ID for the review on the claim. |
May contain organization-specific values: Yes |
Category Entries: |
High Dollar |
Medical Necessity |
Random Audit |
Recovery Action |
Potential Bundle |
Appealed |
Pre-Pay Audit (External) |
Pre-Pay Audit Update (External) |
|
|
4 |
ATTACH_COMMENT |
VARCHAR |
No |
|
|
|
The comment associated with a review when it is attached to a claim. |
|
|
5 |
AP_CLAIM_REVIEW_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
The review status category ID for the review on the claim. |
May contain organization-specific values: No |
Category Entries: |
Under Review |
Rejected |
Not Applicable |
Approved |
|
|
6 |
ATTACH_DTTM |
DATETIME (Local) |
No |
|
|
|
The date and time the associated review was attached to the claim. |
|
|
7 |
COMPLETION_COMMENT |
VARCHAR |
No |
|
|
|
The comment entered by the user who completed the associated review. |
|
|
8 |
COMPLETION_DTTM |
DATETIME (Local) |
No |
|
|
|
The completion date and time for the associated review. |
|
|
9 |
REJECTION_EOB_CODE_ID_EOB_CODE_NAME |
VARCHAR |
No |
|
|
|
The name of the processing code. |
|
|
10 |
ADDED_MANUALLY_YN |
VARCHAR |
No |
|
|
|
Indicates whether this review was added manually by an end user. 'Y' indicates that the review was added manually. 'N' or NULL indicate that the review was added by the system. |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
11 |
REVIEW_STATUS_REASON_C_NAME |
VARCHAR |
No |
|
|
|
The review status reason category ID for the review on the claim. |
May contain organization-specific values: No |
Category Entries: |
Claim Pending |
Rules No Longer Match |
Non-Recovery Review Added |
Auto-Approve Rule Met |
External Action Taken |
|
|