|
Name |
Type |
Discontinued? |
|
| 1 |
TX_ID |
NUMERIC |
No |
|
|
|
| The unique key or identification number for a given transaction. |
|
|
| 2 |
LINE |
INTEGER |
No |
|
|
|
| This column contains the line count for the information in this table. Each action associated with this transaction is stored on a separate line, one line for each entry. |
|
|
| 3 |
ACTION_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| The action type category ID taken on the transaction. |
| May contain organization-specific values: No |
| Category Entries: |
| Not Allowed Adjustment |
| Transfer to Self-Pay |
| Next Responsible Party |
| Resubmit Insurance |
| Write Off Self-Pay |
| Write Off Insurance |
| Transfer to Insurance |
| Gramm Rudman Adjustment |
| Denied |
| Turn Off Automatic Self-Pay Write-Off |
| Turn On Automatic Self-Pay Write-Off |
| Close Claim |
| Debit Adjustment |
| Research |
| Do Not Bill Insurance |
| Bill Insurance |
| Suspended NRP |
| Recalculate Discount |
| Service Level Authorization Edit |
| Post Dental Upgrade Adjustment |
| Create Shadow Charges |
|
|
| 4 |
ACTION_DATE |
DATETIME |
No |
|
|
|
| The date in which this action is performed. |
|
|
| 5 |
ACTION_AMOUNT |
NUMERIC |
No |
|
|
|
| The amount associated with this action. |
|
|
| 6 |
PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
| 7 |
DENIAL_CODE |
VARCHAR |
No |
|
|
|
| The denial code associated with this action. |
|
|
| 8 |
DENIAL_CODE_REMIT_CODE_NAME |
VARCHAR |
No |
|
|
|
| The name of each remittance code. |
|
|
| 9 |
POST_DATE |
DATETIME |
No |
|
|
|
| The date this transaction was posted in calendar format. |
|
|
| 10 |
STMT_DATE |
DATETIME |
No |
|
|
|
| The statement date of this transaction. |
|
|
| 11 |
OUT_AMOUNT_BEFORE |
NUMERIC |
No |
|
|
|
| Outstanding amount of associated transaction before the action is performed. |
|
|
| 12 |
OUT_AMOUNT_AFTER |
NUMERIC |
No |
|
|
|
| Outstanding amount of the associated transaction after the action is performed. |
|
|
| 13 |
INS_AMOUNT_BEFORE |
NUMERIC |
No |
|
|
|
| Insurance amount of the associated transaction before the action is performed. |
|
|
| 14 |
INS_AMOUNT_AFTER |
NUMERIC |
No |
|
|
|
| Insurance amount of the associated transaction after the action is performed. |
|
|
| 15 |
BEFORE_PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
| 16 |
AFTER_PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
| 17 |
BEFORE_CVG_ID |
NUMERIC |
No |
|
|
|
| The coverage of the associated transaction before the action is performed. |
|
|
| 18 |
AFTER_CVG_ID |
NUMERIC |
No |
|
|
|
| The coverage of the associated transaction after the action is performed. |
|
|
| 19 |
ACTION_USER_ID |
VARCHAR |
No |
|
|
|
| The unique ID of the user who performed this action. |
|
|
| 20 |
ACTION_USER_ID_NAME |
VARCHAR |
No |
|
|
|
| The name of the user record. This name may be hidden. |
|
|
| 21 |
ADJ_CODE_ID_PROC_NAME |
VARCHAR |
No |
|
|
|
| The name of each procedure. |
|
|
| 22 |
RMC_ID |
VARCHAR |
No |
|
|
|
| The first reason code ID associated with this action. |
|
|
| 23 |
RMC_ID_REMIT_CODE_NAME |
VARCHAR |
No |
|
|
|
| The name of each remittance code. |
|
|
| 24 |
RMC_TWO_ID |
VARCHAR |
No |
|
|
|
| The second reason code ID associated with this action. |
|
|
| 25 |
RMC_TWO_ID_REMIT_CODE_NAME |
VARCHAR |
No |
|
|
|
| The name of each remittance code. |
|
|
| 26 |
RMC_THREE_ID |
VARCHAR |
No |
|
|
|
| The third reason code ID associated with this action. |
|
|
| 27 |
RMC_THREE_ID_REMIT_CODE_NAME |
VARCHAR |
No |
|
|
|
| The name of each remittance code. |
|
|
| 28 |
RMC_FOUR_ID |
VARCHAR |
No |
|
|
|
| The fourth reason code ID associated with this action. |
|
|
| 29 |
RMC_FOUR_ID_REMIT_CODE_NAME |
VARCHAR |
No |
|
|
|
| The name of each remittance code. |
|
|
| 30 |
PMT_PAYOR_ID_PAYOR_NAME |
VARCHAR |
No |
|
|
|
|
| 31 |
POS_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
| The name of the revenue location. |
|
|
| 32 |
DEPARTMENT_ID_EXTERNAL_NAME |
VARCHAR |
No |
|
|
|
| The external name of the department record. This is often used in patient correspondence such as reminder letters. |
|
|
| 33 |
PROC_ID_PROC_NAME |
VARCHAR |
No |
|
|
|
| The name of each procedure. |
|
|
| 34 |
LOCATION_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
| The name of the revenue location. |
|
|
| 35 |
SERVICE_AREA_ID_LOC_NAME |
VARCHAR |
No |
|
|
|
| The name of the revenue location. |
|
|
| 36 |
ACCOUNT_ID |
NUMERIC |
No |
|
|
|
| The internal ID of the record that maintains the patient's transactions. A patient may use more than one account and an account may contain more than one patient. |
|
|
| 37 |
PRIMARY_DX_ID_DX_NAME |
VARCHAR |
No |
|
|
|
| The name of the diagnosis. |
|
|
| 38 |
MODIFIER_ONE |
VARCHAR |
No |
|
|
|
| The first procedure modifier of the associated transaction. This is the external modifier, as it would be printed on the claim. |
|
|
| 39 |
MODIFIER_TWO |
VARCHAR |
No |
|
|
|
| The second procedure modifier of the associated transaction. This is the external modifier, as it would be printed on the claim. |
|
|
| 40 |
MODIFIER_THREE |
VARCHAR |
No |
|
|
|
| The third modifier of the associated transaction. This is the external modifier, as it would be printed on the claim. |
|
|
| 41 |
MODIFIER_FOUR |
VARCHAR |
No |
|
|
|
| The fourth modifier of the associated transaction. This is the external modifier, as it would be printed on the claim. |
|
|
| 42 |
ASSIGNMENT_BEF_YN |
VARCHAR |
No |
|
|
|
| This item is a Yes/No flag to determine if the transaction was assigned to insurance before the action on this line for this transaction. |
| May contain organization-specific values: No |
| Category Entries: |
| Yes |
| No |
|
|
| 43 |
ASSIGNMENT_AFTER_YN |
VARCHAR |
No |
|
|
|
| This item is a Yes/No flag to determine if the transaction was assigned to insurance after the action on this line for this transaction. |
| The category values for this column were already listed for column: ASSIGNMENT_BEF_YN |
|
|
| 44 |
ACTION_REMIT_CODES |
VARCHAR |
No |
|
|
|
| This field stores a comma delimited list of external remittance codes for this transaction. |
|
|
| 45 |
ACTION_COMMENT |
VARCHAR |
No |
|
|
|
| This is the system generated comment for this transaction. |
|
|
| 46 |
ACTION_DATETIME |
DATETIME (UTC) |
No |
|
|
|
| The UTC date and time the action was performed. |
|
|