|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the claim info record |
|
|
2 |
RX_BATCH_NUM |
VARCHAR |
No |
|
|
|
National Council for Prescription Drug Programs (NCPDP) file batch number |
|
|
3 |
RX_SUBMISSION_NUM |
INTEGER |
No |
|
|
|
NCPDP file submission number. |
|
|
4 |
RECORD_STATUS_EXT_CODE_LST_ID |
NUMERIC |
No |
|
|
|
Identifies the status of the pharmacy claim (paid, reversed, canceled, etc.). The record status code can be retrieved by joining this column to the EXT_CODE_LST_ID column in table FCL_EXTRNL_CDE_LST. |
|
|
5 |
RECORD_STATUS_EXT_CODE_LST_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
The name of the list value. |
|
|
6 |
REJECT_OVRIDE_EXT_CODE_LST_ID |
NUMERIC |
No |
|
|
|
Indicates reason for paying a pharmacy claim when override is used. The reject override code can be retrieved by joining this column to the EXT_CODE_LST_ID column in table FCL_EXTRNL_CDE_LST. |
|
|
7 |
REJECT_OVRIDE_EXT_CODE_LST_ID_EXT_CODE_LST_NAME |
VARCHAR |
No |
|
|
|
The name of the list value. |
|
|
8 |
PHARMACY_ID |
NUMERIC |
No |
|
|
|
Pharmacy associated to the claim. |
|
|
9 |
PHARMACY_ID_PHARMACY_NAME |
VARCHAR |
No |
|
|
|
The name of the pharmacy. |
|
|
10 |
PRESC_PROV_ID_PROV_NAME |
VARCHAR |
No |
|
|
|
The name of the service provider. This item may be hidden in a public view of the CLARITY_SER table. |
|
|
11 |
PRESC_PROV_TAXONOMY |
VARCHAR |
No |
|
|
|
Stores the prescribing provider's taxonomy code for pharmacy claims. |
|
|
12 |
TTL_INGRED_COST_PAID |
NUMERIC |
No |
|
|
|
Drug ingredient cost paid. |
|
|
13 |
TTL_DISPENSING_FEE_PAID |
NUMERIC |
No |
|
|
|
|
14 |
TTL_REG_TAX_AMT_PAID |
NUMERIC |
No |
|
|
|
Flat sales tax amount paid. |
|
|
15 |
TTL_PCT_TAX_AMT_PAID |
NUMERIC |
No |
|
|
|
Percentage tax amount paid. |
|
|
16 |
TTL_INCENTIVE_AMT_PAID |
NUMERIC |
No |
|
|
|
|
17 |
TTL_PROF_SVC_FEE_PAID |
NUMERIC |
No |
|
|
|
Professional service fee paid. |
|
|
18 |
OTHER_AMT_RECOGNIZED |
NUMERIC |
No |
|
|
|
Total amount recognized by the processor of any payment from another source. |
|
|
19 |
ALTERNATE_CLM_IDENT |
VARCHAR |
No |
|
|
|
|
20 |
REF_CLAIM_IDENT |
VARCHAR |
No |
|
|
|
Reference claim ID for the original claim |
|
|
21 |
WORKFLOW_C_NAME |
VARCHAR |
No |
|
|
|
Claim workflow type (AP claim, paid claim, estimate claim, etc.) |
May contain organization-specific values: Yes |
Category Entries: |
AP claims |
Reprice claims |
Export only |
Shadow claims |
Externally paid claims |
Externally paid claims with bucket update |
Pre-adjudicated external claims |
Estimate claims |
Adjudicated external claims |
|
|
22 |
COVERAGE_ID |
NUMERIC |
No |
|
|
|
Coverage used to pay the claim |
|
|
23 |
PAYER_SEQ_NUMBER_C_NAME |
VARCHAR |
No |
|
|
|
Sequence number of the payer of the claim. |
May contain organization-specific values: No |
Category Entries: |
Primary |
Secondary |
Tertiary |
Quaternary |
Quinary |
Senary |
Septenary |
Octonary |
Nonary |
Denary |
Undenary |
|
|
24 |
OWN_BUSINESS_SEGMENT_POS_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
25 |
CLM_SERV_AREA_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
26 |
CLM_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
Claim status |
May contain organization-specific values: No |
Category Entries: |
New |
Pending |
Denied |
Clean |
Void |
|
|
27 |
STATUS_SET_DATE |
DATETIME |
No |
|
|
|
Date when claim status was updated |
|
|
28 |
RECEIVED_DATE |
DATETIME |
No |
|
|
|
The date the claim was received |
|
|
29 |
ADJUD_DTTM |
DATETIME (Local) |
No |
|
|
|
Adjudication date and time |
|
|
30 |
SERVICE_START_DATE |
DATETIME |
No |
|
|
|
Service start date for the claim |
|
|
31 |
SERVICE_END_DATE |
DATETIME |
No |
|
|
|
Service end date for the claim |
|
|
32 |
TTL_DEDUCTIBLE |
NUMERIC |
No |
|
|
|
|
33 |
TTL_COPAY |
NUMERIC |
No |
|
|
|
|
34 |
TTL_COINS |
NUMERIC |
No |
|
|
|
|
35 |
TTL_PAT_AMT |
NUMERIC |
No |
|
|
|
|
36 |
TTL_PRIM_INS_AMT |
NUMERIC |
No |
|
|
|
Total prior insurance amount |
|
|
37 |
TTL_BILLED |
NUMERIC |
No |
|
|
|
|
38 |
TTL_ALLOWED_AMT |
NUMERIC |
No |
|
|
|
|
39 |
TTL_NET_PAYABLE |
NUMERIC |
No |
|
|
|
|
40 |
ORIG_OF_REV_CLAIM_ID |
NUMERIC |
No |
|
|
|
If this claim is a reversal claim, this column contains the ID of the claim reversed by this claim. |
|
|
41 |
ADJUST_BY_CLAIM_ID |
NUMERIC |
No |
|
|
|
If this claim has been adjusted, this column contains the ID of the claim which adjusts this claim. |
|
|
42 |
ORIG_OF_ADJUST_CLAIM_ID |
NUMERIC |
No |
|
|
|
If this claim adjusts another claim, this column contains the ID of the claim adjusted by this claim. |
|
|
43 |
TTL_PRIM_PAT_DEDUCTIBLE |
NUMERIC |
No |
|
|
|
Total prior patient deductible |
|
|
44 |
TTL_PRIM_PAT_COPAY |
NUMERIC |
No |
|
|
|
Total prior patient copay |
|
|
45 |
TTL_PRIM_PAT_COINS |
NUMERIC |
No |
|
|
|
Total prior patient coinsurance |
|
|
46 |
UNBALANCED_AMOUNTS_YN |
VARCHAR |
No |
|
|
|
Identifies whether the adjustment claim was received with credit/debit information that reflect the adjusted amount as opposed to new claim amounts. |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
47 |
INVALID_CLM_YN |
VARCHAR |
No |
|
|
|
If the system determined we cannot trust the claim's data for reporting or clinical purposes, this column will store Y (invalid). Otherwise it will be N (valid) or NULL (has not been evaluated by the system). This column's value can be overridden by AP_CLM_RX.OVERRIDE_INVALID_CLM_YN. |
The category values for this column were already listed for column: UNBALANCED_AMOUNTS_YN |
|
|
48 |
OVERRIDE_INVALID_CLM_YN |
VARCHAR |
No |
|
|
|
Overrides the INVALID_CLM_YN column and determines if we cannot trust the claim's data for reporting or clinical purposes. This column will store Y if overridden to invalid, N if overridden to valid, or NULL if validity has not been overridden and the value in AP_CLM_RX.INVALID_CLM_YN will be used. |
The category values for this column were already listed for column: UNBALANCED_AMOUNTS_YN |
|
|
49 |
IS_INVLD_ADJ_SEQ_RX_YN |
VARCHAR |
No |
|
|
|
Indicates whether a claim is part of an adjustment sequence that is not valid. An adjustment sequence can be invalid for a number of reasons, such as the sequence ending in a cancellation or the sequence having gaps. |
The category values for this column were already listed for column: UNBALANCED_AMOUNTS_YN |
|
|
50 |
TOT_NOT_COVERED_AMT |
NUMERIC |
No |
|
|
|
|
51 |
MEDICARE_DRUG_CVG_CODE_C_NAME |
VARCHAR |
No |
|
|
|
Code to distinguish if a claim was paid under Medicare Part B or Part D. |
May contain organization-specific values: No |
Category Entries: |
None |
Medicare Part D |
Medicare Part B |
|
|
52 |
REC_OWN_BUSSEG_POS_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
53 |
CMS_NATURAL_KEY |
VARCHAR |
No |
|
|
|
The claim natural key for a CMS claim. |
|
|