|
Name |
Type |
Discontinued? |
|
| 1 |
AUTH_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the authorization record. |
|
|
| 2 |
UM_WORKFLOW_STAGE_C_NAME |
VARCHAR |
No |
|
|
|
| The workflow stage category ID for the authorization. |
| May contain organization-specific values: No |
| Category Entries: |
| Intake & Admin Review |
| Medical Review |
| Medical Director Review |
| Pre-Decision |
| Decision |
|
|
| 3 |
DTR_DOC_NEEDED_YN |
VARCHAR |
No |
|
|
|
| Whether DTR is required before submitting Authorization Request |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes |
|
|
| 4 |
DTR_AGENCY_ID |
VARCHAR |
No |
|
|
|
| The Guideline Vendor responsible for DTR Questionnaires for this request |
|
|
| 5 |
DTR_AGENCY_ID_AGENCY_NAME |
VARCHAR |
No |
|
|
|
|
| 6 |
DTR_REQ_AUD_ID |
NUMERIC |
No |
|
|
|
| The record ID of the PPR record tracking this DTR session |
|
|
| 7 |
UM_CVG_GUIDANCE_EXP_DATE |
DATETIME |
No |
|
|
|
| The expiration date of the requested coverage guidance. |
|
|
| 8 |
PROV_AUTO_AUTH_YN |
VARCHAR |
No |
|
|
|
| Whether authorization request will be automatically authorized. |
| The category values for this column were already listed for column: DTR_DOC_NEEDED_YN |
|
|
| 9 |
PAT_FHIR_ID |
VARCHAR |
No |
|
|
|
| The FHIR Patient ID in the DTR request. |
|
|
| 10 |
SVC_REQ_FHIR_ID |
VARCHAR |
No |
|
|
|
| The FHIR ServiceRequest ID in the DTR request. |
|
|
| 11 |
CVG_FHIR_ID |
VARCHAR |
No |
|
|
|
| The FHIR Coverage ID in the DTR request. |
|
|
| 12 |
DTR_HISTORICAL_AUTH_ID |
NUMERIC |
No |
|
|
|
| Historical coverage guidance authorization record linked to this authorization record |
|
|
| 13 |
DTR_ANSWER_ID |
VARCHAR |
No |
|
|
|
| The internal guideline generated QuestionnaireResponse returned via DTR for this request |
|
|
| 14 |
APPR_PA_AMT_FREQUENCY_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| Determines the approved timing of the service. This is the referral version of Tapestry frequency I AUT 2080. |
| May contain organization-specific values: No |
| Category Entries: |
| Milliseconds |
| Seconds |
| Minutes |
| Hours |
| Days |
| Weeks |
| Months |
| Years |
|
|
| 15 |
REQ_PA_AMT_FREQUENCY_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| Determines the requested timing of the service. This is the referral version of Tapestry frequency I AUT 2083. |
| The category values for this column were already listed for column: APPR_PA_AMT_FREQUENCY_TYPE_C_NAME |
|
|
| 16 |
APPEALED_ORIG_SERVICE_AUTH_ID |
NUMERIC |
No |
|
|
|
| The ID of the original authorization request service that was appealed. |
|
|
| 17 |
COPIED_FROM_AUTH_ID |
NUMERIC |
No |
|
|
|
| The source authorization ID of a split or copied authorization request |
|
|
| 18 |
USER_SVC_UNIT_TYPE_C_NAME |
NUMERIC |
No |
|
|
|
| The user-entered unit type for this service. |
| May contain organization-specific values: No |
| Category Entries: |
| Days |
| Days of Rental |
| Doses of Medication |
| Hours |
| Months of Rental |
| Procedures |
| Purchase Items |
| Units |
| 15 Minutes |
| 30 Minutes |
| Months |
| Trips |
| Visits |
| Days of Maintenance |
| Months of Maintenance |
|
|
| 19 |
SVC_UNIT_TYPE_C_NAME |
NUMERIC |
No |
|
|
|
| Unit type associated with the service, taking the unit type set by the user in I AUT 2096 into account. |
| The category values for this column were already listed for column: USER_SVC_UNIT_TYPE_C_NAME |
|
|
| 20 |
UAR_PX_AUTH_REQD_YN |
VARCHAR |
No |
|
|
|
| This item stores the authorization requirement determined by UAR for a single service. It is set on Service Auths and Coverage Guidance AUTs. Set to No if the service doesn't require authorization. Set to Yes if the service requires authorization. Left blank if the service is externally delegated or not covered. |
| The category values for this column were already listed for column: DTR_DOC_NEEDED_YN |
|
|
| 21 |
EXT_SVC_CONTACT_PAYER_YN |
VARCHAR |
No |
|
|
|
| This indicates whether contact payer status is received in Payer Platform from an external system for this service. |
| The category values for this column were already listed for column: DTR_DOC_NEEDED_YN |
|
|