AP_CLAIM_REVIEW

Description:

The AP_CLAIM_REVIEW table contains a row for each review on a claim.

Primary Key

Column Name	Ordinal Position
CLAIM_ID	1
LINE	2

Column Information

	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 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	NUMERIC	No
	The unique identifier of the processing code (EOB code) attached when a review is rejected.
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