|
Name |
Type |
Discontinued? |
|
| 1 |
BATCH_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the batch 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 |
PAT_ID |
VARCHAR |
No |
|
|
|
| The member the appeal/grievance relates to. |
|
|
| 4 |
COVERAGE_ID |
NUMERIC |
No |
|
|
|
| The coverage the appeal/grievance relates to. |
|
|
| 5 |
APPEAL_GRV_TYPE_C_NAME |
NUMERIC |
No |
|
|
|
| The type of request/issue. |
| May contain organization-specific values: No |
| Category Entries: |
| Appeal |
| Grievance |
| Dismissal Review |
|
|
| 6 |
AG_REVIEW_TYPE_C_NAME |
NUMERIC |
No |
|
|
|
| How the review for the appeal/grievance is conducted. |
| May contain organization-specific values: No |
| Category Entries: |
| Internal |
| External |
|
|
| 7 |
APPEAL_SUBJECT_TYPE_C_NAME |
NUMERIC |
No |
|
|
|
| The type of thing that is being appealed. |
| May contain organization-specific values: No |
| Category Entries: |
| Authorization |
| Claim |
|
|
| 8 |
SUBJECT_NOT_IN_SYSTEM_YN |
VARCHAR |
No |
|
|
|
| If the thing that is the subject of the appeal/grievance is not documented as a record in Epic. |
| May contain organization-specific values: No |
| Category Entries: |
| No |
| Yes |
|
|
