|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the claim info record |
|
|
2 |
PRIM_PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
3 |
BCDA_GROUP_IDENT |
VARCHAR |
No |
|
|
|
Claim group identifier provided by Beneficiary Claims Data API (BCDA) |
|
|
4 |
TOT_PAT_PORTION |
NUMERIC |
No |
|
|
|
|
5 |
MOST_RECENT_INCOMING_CEV_ID |
NUMERIC |
No |
|
|
|
The most recent incoming Claim External Values (CEV) record ID |
|
|
6 |
CLAIM_HEADER_ID |
VARCHAR |
No |
|
|
|
Holds the claim header ID for the claim received from raw data |
|
|
7 |
ADJ_SEQUENCE |
VARCHAR |
No |
|
|
|
Holds the adjustment sequence for the claim received from raw data |
|
|
8 |
ADJ_TO_CLAIM_ID |
VARCHAR |
No |
|
|
|
Holds the adjustment to claim ID for the claim received from raw data |
|
|
9 |
REV_TO_CLAIM_ID |
VARCHAR |
No |
|
|
|
Holds the reversal to claim ID for the claim received from raw data |
|
|
10 |
IS_CLINICALLY_VALID_YN |
VARCHAR |
No |
|
|
|
Stores whether a claim is considered valid for the purpose of clinical data derivation |
May contain organization-specific values: No |
Category Entries: |
No |
Yes |
|
|
11 |
KLCTCEV_RECORD_ID |
NUMERIC |
No |
|
|
|
Holds the CEV ID containing the KLCT metadata for a reversal claim. |
|
|
12 |
WORKFLOW_PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
13 |
SOURCE_ORG_ID |
NUMERIC |
No |
|
|
|
The source organization of the external record. |
|
|
14 |
SOURCE_ORG_ID_EXTERNAL_NAME |
VARCHAR |
No |
|
|
|
Organization's external name used as the display name on forms and user interfaces. |
|
|
15 |
LOOP_OR_SPLIT_YN |
VARCHAR |
No |
|
|
|
Indicates whether a claim is part of an adjustment sequence that contains a split claim or an adjustment sequence loop. This CLM does not have to be in the split or loop istelf, just a part of the adjustment sequence. |
The category values for this column were already listed for column: IS_CLINICALLY_VALID_YN |
|
|
16 |
EXTERNAL_DEMOG_ID |
NUMERIC |
No |
|
|
|
Holds a pointer to the REQ record that holds the identifier and demographics that this claim was received with, linking this claim into an ID bundle. |
|
|
17 |
BENEFIT_PLAN_ID_BENEFIT_PLAN_NAME |
VARCHAR |
No |
|
|
|
The name of the benefit plan record. |
|
|
18 |
CLM_LOB_ID |
VARCHAR |
No |
|
|
|
Stores the unique identifier of the line of business associated with the claim. This is the LOB determined at adjudication. |
|
|
19 |
CLM_LOB_ID_LOB_NAME |
VARCHAR |
No |
|
|
|
The name of the line of business record. |
|
|
20 |
IN_OUT_OF_NET_C_NAME |
VARCHAR |
No |
|
|
|
Contains the network level of a claim. |
May contain organization-specific values: Yes |
Category Entries: |
In Network |
Out of Network |
N/A |
|
|
21 |
CLAIM_PAID_DATE |
DATETIME |
No |
|
|
|
The date that the claim was paid, which is determined by the date the claim reaches the AP Status EOB Generated |
|
|
22 |
CLAIM_NAT_KEY_HASH |
VARCHAR |
No |
|
|
|
The hashed value of the mapped claim natural key. |
|
|
23 |
CLAIM_NAT_KEY_ORDER |
VARCHAR |
No |
|
|
|
The ordering value for the claim natural key. |
|
|
24 |
CLM_ADJ_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The Claim Adjustment Type Code |
May contain organization-specific values: No |
Category Entries: |
Original |
Adjustment |
Reversal |
|
|
25 |
NAT_KEY_FINAL_YN |
VARCHAR |
No |
|
|
|
Indicates whether a claim is the final action of an adjustment sequence that is tracking adjustments via natural keys. Natural key adjustments are tracked using superitem CLM 18690. A claim is the final action of its natural key if it has the maximum order value (item 18692) for a given natural key (item 18691). If there is a tie, the claim with the largest claim header id (item 18681) is deemed the final action. |
The category values for this column were already listed for column: IS_CLINICALLY_VALID_YN |
|
|
26 |
CLAIM_SVC_CLASS_CTX_C_NAME |
VARCHAR |
No |
|
|
|
Represents a high-level clinical classification context of the services billed for on this claim. |
May contain organization-specific values: No |
Category Entries: |
Inpatient |
Outpatient |
Professional Services |
Pharmacy |
Lab Services |
Hospice |
Not Classified |
|
|
27 |
CLAIM_SVC_CLASS_C_NAME |
VARCHAR |
No |
|
|
|
Represents a clinical classification for the services billed on this claim. |
May contain organization-specific values: No |
Category Entries: |
Acute Inpatient |
Other Inpatient |
Skilled Nursing |
Inpatient Psychiatric Care |
Inpatient Rehabilitation Care |
Hospice |
Home Health |
Outpatient |
Emergency |
Specimen Only |
Pharmacy |
Observation |
Urgent Care |
Surgery |
Nursing Facility |
Residential Facility Services |
Office Visit |
Substance Abuse and Behavioral Health Services |
Ambulance |
Telemedicine |
Home Visit |
Outpatient Rehabilitation Services |
Independent Laboratory |
Inpatient Part B |
Inpatient Part B Preventive Services |
Skilled Nursing Part B |
Skilled Nursing Part B Preventive Services |
Not Classified |
|
|
28 |
CLIN_FILTER_UTC_DTTM |
DATETIME (UTC) |
No |
|
|
|
Last UTC instant clinical data derivation filters (I CLM 18625) were updated or calculated without changes for this claim. |
|
|
29 |
CLIN_FILTER_DTTM |
DATETIME (Local) |
No |
|
|
|
Last local instant clinical data derivation filters (I CLM 18625) were updated or calculated without changes for this claim. Calculated using EPIC_UTC_TO_LOCAL on I CLM 18626. |
|
|
30 |
REGION_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
31 |
MEDICAL_GROUP_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
The name of the revenue location. |
|
|
32 |
SERVICE_DATE_FROM_LINE_YN |
VARCHAR |
No |
|
|
|
Indicates whether the service date was received at the header level, or was determined based on service lines. |
The category values for this column were already listed for column: IS_CLINICALLY_VALID_YN |
|
|