AUTH_REQUEST_HX_ENT_INFO
Description:
This table contains information about entity information related to the Authorization Request.

Primary Key
Column Name Ordinal Position
AUTH_REQUEST_ID 1
CONTACT_DATE_REAL 2
LINE 3

Column Information
Name Type Discontinued?
1 AUTH_REQUEST_ID NUMERIC No
The unique identifier (.1 item) for the authorization request record.
2 CONTACT_DATE_REAL FLOAT No
A unique contact date in decimal format. The integer portion of the number indicates the date of contact. The digits after the decimal distinguish different contacts on the same date and are unique for each contact on that date. For example, .00 is the first/only contact, .01 is the second contact, etc.
3 LINE INTEGER No
The line number for the information associated with this contact. Multiple pieces of information can be associated with this contact.
4 ENT_TYPE_C_NAME VARCHAR No
The type of the entity in this prior authorization.
May contain organization-specific values: No
Category Entries:
Provider
Facility
5 ENT_ROLE_C_NAME VARCHAR No
The role of the entity in this prior authorization.
May contain organization-specific values: No
Category Entries:
Requesting
Performing
6 ENT_FAC_NAME VARCHAR No
The name of the facility in this prior authorization.
7 ENT_PROV_FIRST_NAME VARCHAR No
The first name of the provider in this prior authorization.
8 ENT_PROV_MID_NAME VARCHAR No
The middle name of the provider in this prior authorization.
9 ENT_PROV_LAST_NAME VARCHAR No
The last name of the provider in this prior authorization.
10 ENT_TAX_CODE VARCHAR No
Taxonomy codes of a provider/location.
11 ENT_NPI VARCHAR No
NPI for the entity.
12 ENT_TIN VARCHAR No
Tax ID for the entity.
13 ENT_PHONE VARCHAR No
Phone number for the entity.
14 ENT_FAX VARCHAR No
Fax number for the entity.
15 ENT_EMAIL VARCHAR No
The contact email for the entity.
16 ENT_ADDR_LINE_1 VARCHAR No
The first line of a street address of the entity.
17 ENT_ADDR_LINE_2 VARCHAR No
The second line of a street address of the entity.
18 ENT_ADDR_CITY VARCHAR No
City for the address of the entity.
19 ENT_TAX_STATE_C_NAME VARCHAR No
State for the address of the entity.
May contain organization-specific values: Yes
20 ENT_ADDR_ZIP VARCHAR No
ZIP code of the address of the entity.