AP_CLM_PX_BENEFIT_ROUTING
Description:
This table contains benefits routing information for adjudicated claim procedures.

Primary Key
Column Name Ordinal Position
TX_ID 1
LINE 2

Column Information
Name Type Discontinued?
1 TX_ID NUMERIC No
The unique identifier (.1 item) 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 REMITTANCE_CAT_C_NAME VARCHAR No
The payment type of the benefit accumulation routing line.
May contain organization-specific values: No
Category Entries:
Deductible
Coinsurance
Copay
Not Covered
4 ROUTING_BEN_FUNCTION_C_NAME VARCHAR No
The function of the benefit accumulation routing line.
May contain organization-specific values: Yes
Category Entries:
Coverage Limit
Maximum Out of Pocket
Pre-Deductible
Deductible
Core Payment
5 ROUTING_FUNCTION_ORDER INTEGER No
The function order of the benefit accumulation routing line.
6 ROUTING_AMOUNT NUMERIC No
The amount of the benefit accumulation routing line.