|
Name |
Type |
Discontinued? |
|
| 1 |
AUTH_BUNDLE_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the auth bundle 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 |
CONTACT_ID_REF |
VARCHAR |
No |
|
|
|
| The reference ID for this particular authorization contact line. |
|
|
| 4 |
AUTH_CONTACT_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| The broad categorization for this particular contact, for example differentiating between an administrative point of contact or a payer delegate. |
| May contain organization-specific values: No |
| Category Entries: |
| Payer Delegate |
|
|
| 5 |
CONTACT_HOUSE_NUM |
VARCHAR |
No |
|
|
|
| The house number associated with the contact's address information. |
|
|
| 6 |
CONTACT_CITY |
VARCHAR |
No |
|
|
|
| The city associated with the contact's address information. |
|
|
| 7 |
CONTACT_TAX_STATE_C_NAME |
VARCHAR |
No |
|
|
|
| The state associated with the contact's address information. |
| May contain organization-specific values: Yes |
|
|
| 8 |
CONTACT_ZIP |
VARCHAR |
No |
|
|
|
| The ZIP code associated with the contact's address information. |
|
|
| 9 |
CONTACT_DISTRICT_C_NAME |
VARCHAR |
No |
|
|
|
| The district associated with the contact's address information. |
| May contain organization-specific values: Yes |
|
|
| 10 |
CONTACT_COUNTY_2_C_NAME |
VARCHAR |
No |
|
|
|
| The county associated with the contact's address information. |
| May contain organization-specific values: Yes |
|
|
| 11 |
CONTACT_COUNTRY_2_C_NAME |
VARCHAR |
No |
|
|
|
| The country associated with the contact's address information. |
| May contain organization-specific values: Yes |
|
|
| 12 |
CONTACT_ORG_NAME |
VARCHAR |
No |
|
|
|
| The contact's organization name. |
|
|
| 13 |
CONTACT_FIRST_NAME |
VARCHAR |
No |
|
|
|
| The contact's first name. |
|
|
| 14 |
CONTACT_MIDDLE_NAME |
VARCHAR |
No |
|
|
|
| The contact's middle name. |
|
|
| 15 |
CONTACT_LAST_NAME |
VARCHAR |
No |
|
|
|
|
| 16 |
CONTACT_SUFFIX_C_NAME |
VARCHAR |
No |
|
|
|
| The contact's name suffix. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Sr. |
| Jr. |
| II |
| III |
| IV |
| V |
|
|
| 17 |
CONTACT_PHONE_NUM |
VARCHAR |
No |
|
|
|
| The contact's phone number. |
|
|
| 18 |
CONTACT_FAX_NUMBER |
VARCHAR |
No |
|
|
|
| The contact's fax number. |
|
|
| 19 |
CONTACT_EMAIL |
VARCHAR |
No |
|
|
|
| The contact's email address. |
|
|
| 20 |
CONTACT_URL |
VARCHAR |
No |
|
|
|
|
| 21 |
CONTACT_NAME_FOR_LN |
VARCHAR |
No |
|
|
|
| The contact name of the person or place that should be contacted if contacting the contact referenced in the rest of this line. |
|
|