BEN_ACCUMULATION_HX_ACCT
Description:
This table contains a history of claims, charges, and manual adjustments made to account-level benefit buckets on coverages.

Primary Key
Column Name Ordinal Position
COVERAGE_ID 1
LINE 2

Column Information
Name Type Discontinued?
1 COVERAGE_ID NUMERIC No
The coverage record's ID.
2 LINE INTEGER No
The line count for the coverage record's account bucket history.
3 ACCT_BKT_PAT_ID VARCHAR No
The unique ID of the patient for the coverage's account bucket history.
4 ACCT_BKT_DATE DATETIME No
The date of service for the account level bucket update.
5 ACCT_BKT_SRC_C_NAME VARCHAR No
The source of the account-level bucket update.
May contain organization-specific values: No
Category Entries:
Conversion
Manual Adjustment
Charge
Claim
Pharmacy Confirmation
Pro-Ration Adjustment
Benefit Bucket Import
HB Charge
System Adjustment
HRA Funding
Adjustment Reversal
6 ACCT_BKT_CLAIM_ID NUMERIC No
If the source of this accumulation is a claim, then this field will store the unique identifier of that accounts payable claim record.
7 ACCT_BKT_AMT NUMERIC No
The amount by which the account level bucket was adjusted.
8 ACCT_BKT_CVG_ID NUMERIC No
If this account level update is due to carryover from another coverage, this item will store the unique coverage ID of the source.
9 ACCT_BKT_RFL_ID NUMERIC No
If the source is pharmacy confirmation (ACCT_BKT_SRC_C = 4), then the unique identifier of the relevant referral.
10 ACCT_BKT_CMT VARCHAR No
The free text comment about the account level bucket update.
11 ACCT_BKT_USER_ID VARCHAR No
The unique ID of the user associated with the account level bucket update.
12 ACCT_BKT_USER_ID_NAME VARCHAR No
The name of the user record. This name may be hidden.
13 ACCT_BKT_ETR_ID NUMERIC No
If the source was a claim, this field will store the procedure that updated the account level bucket.
14 ACCT_IN_OUT_C VARCHAR No
Stores in/out of network category ID for the bucket update, as calculated by the system.
15 ACCT_IN_OUT_OVRD_C VARCHAR No
Stores in/out of network category ID for the bucket update, if the system-calculated value was overridden.
16 ACCT_BKT_HB_CHRG_ID NUMERIC No
If an accumulation amount was due to Hospital Billing, this column stores the transaction ID that caused the accumulation.
17 ACCT_BKT_BKT_ID NUMERIC No
The ID of the coverage's account level bucket.
18 ACCT_BKT_BKT_ID_BUCKET_NAME VARCHAR No
The name of the bucket.
19 ACCT_BKT_CHARGE_ID NUMERIC No
If the source is a charge, then this field will have the unique ID of the charge (ETR). Hospital Billing charges (HTR) and AP claim transactions (ETR) are not stored in this column.
20 ACCT_BKT_INSTANT DATETIME (UTC) No
Contains the instant at which this account bucket update was made.
21 ACCT_BKT_Q4_FLAG VARCHAR No
A Y/N flag to indicate whether or not fourth quarter carryover was performed for this bucket line.
May contain organization-specific values: Yes
Category Entries:
No
Yes
22 ACCT_BKT_Q4_FROM_LN INTEGER No
The line number of the bucket that fourth quarter accumulations were carried from.
23 ACCT_BKT_Q4_RLPD_YR INTEGER No
Stores the roll period year of the bucket the current row corresponds to, if this bucket was carried to or from due to fourth quarter carryover.
24 ACCT_BKT_ORG_SVC_DT DATETIME No
The original service date for the account level bucket update. This will only be different from ACCT_BKT_DATE if the bucket update was the result of carryover.
25 ACCT_BKT_Q4_CAND VARCHAR No
This column stores a Y/N flag. It will only be Y if the bucket is configured for fourth quarter carryover and the service date was in the last quarter of the year, but fourth quarter carryover was not performed because the member was not effective on the target bucket date.
May contain organization-specific values: Yes
Category Entries:
No
Yes
26 ACCT_BKT_Q4_CVG_YN VARCHAR No
Stores a Y/N flag that indicates whether or not this bucket update was carried from another coverage by fourth quarter carryover rule. The ID of the source coverage is stored in column ACCT_BKT_CVG_ID.
May contain organization-specific values: No
Category Entries:
No
Yes
27 ACCT_BKT_IDNT VARCHAR No
The user-entered identifier for a manual account bucket entry. This is a free text field that could include a value that references an ID number, such as a claim or user ID.
28 ACCT_BKT_EDIT_TYP_C_NAME VARCHAR No
The edit type category ID for the account level bucket on a coverage.
May contain organization-specific values: Yes
Category Entries:
Accrual
Payout
Correction
29 ACCT_BKT_ENTRY_TTL NUMERIC No
Contains the total amount in the bucket before this update. This column is only populated for rows corresponding to manual adjustments.
30 ACCT_BKT_PROV_ID VARCHAR No
Stores the ID of the provider associated with the benefit bucket if the bucket is incremented per provider.
31 ACCT_BKT_VEN_ID VARCHAR No
Stores the ID of the vendor associated with the benefit bucket if the bucket is incremented per vendor.
32 ACCT_BKT_VEN_ID_VENDOR_NAME VARCHAR No
The name of the vendor.
33 ACCT_BKT_ADMSN_DATE DATETIME No
Benefit buckets that use an admission roll period use the admission start and discharge dates from the claim to determine the roll period. Each individual accumulation stores these dates from the claim. This column stores the admission date that accumulated this particular amount to the bucket.
34 ACCT_BKT_DISCHRG_DATE DATETIME No
Benefit buckets that use an admission roll period use the admission start and discharge dates from the claim to determine the roll period. Each individual accumulation stores these dates from the claim. This column stores the discharge date that accumulated this particular amount to the bucket.
35 ACCT_BKT_EXCLCAROV_YN VARCHAR No
Stores a Y/N flag indicating whether or not this account level accumulation was excluded from carryover to other coverages. Y means this accumulation was not carried over to other coverages. N or NULL means this accumulation was not excluded from carryover.
The category values for this column were already listed for column: ACCT_BKT_Q4_CVG_YN
36 ACCT_BKT_CRYOVR_ORIG_AMT NUMERIC No
This column stores the original amount that we attempted to carryover to this coverage. This is only set if the original amount is different than the actual amount.
37 ACCT_BKT_CAT_OR_ID VARCHAR No
Stores the unique identifier of the record or category value used by the bucket if it is of type per extension per day. If BEN_ACCUMULATION_HX_ACCT.ACCT_BKT_ITEM is NULL, this column stores the unique identifier of a record in the INI specified by BEN_ACCUMULATION_HX_ACCT.ACCT_BKT_INI. Otherwise, this column stores the category value corresponding to the master file and item specified in those columns. If translation to community IDs (CIDs) is enabled for this deployment (e.g. in an IntraConnect setting), this column will store the category or record CID.
38 ACCT_BKT_INI VARCHAR No
Stores the INI of the master file networked to by the bucket if it is of type per extension per day.
39 ACCT_BKT_ITEM INTEGER No
Stores the item number networked to by the bucket if it is of type per extension per day and counts against categories.
40 ACCT_BKT_COMBINED_START_DATE DATETIME No
Stores the combined start date used if the bucket is of type per extension per day and is using an extension to combine accumulations from two contiguous days to determine whether a bucket exceeds the limit.
41 ACCT_BKT_ACCUM_ID VARCHAR No
Unique identifier for a single bucket accumulation. This is a machine generated value and cannot be edited. The ID is made up of three pieces: The coverage ID, the accumulation line number, and 1180. If this accumulation is carried through fourth quarter carryover a Q will be appended.
42 ACCT_BKT_ORG_CVG_ID NUMERIC No
If the account-level accumulation was carried over from another coverage, then this column contains the accumulation's original source coverage ID. Otherwise, this column is blank.
43 ACCT_HRA_ACC_TYPE_C_NAME VARCHAR No
The type of accumulation for the Health Reimbursement Arrangement (HRA) bucket
May contain organization-specific values: Yes
Category Entries:
Deposit
Rollover
Withdrawal
Proration
44 ACCT_ROLLOVER_FROM_LINE INTEGER No
The line that a rollover accumulation originated on. This will not be set when the source is Health Reimbursement Arrangement (HRA) deposit.
45 ACCT_REVERSAL_OF_LN INTEGER No
If a value is present, then this accumulation line is a reversal of the accumulation on the line number stored in this item. Note that if no value is present, then this accumulation line may or may not be a reversal of another accumulation line.
46 ACCT_BKT_CROSS_ACCUM_BUCKET_ID NUMERIC No
Indicates the source bucket if the accumulation was the result of cross-accumulation.
47 ACCT_BKT_CROSS_ACCUM_BUCKET_ID_BUCKET_NAME VARCHAR No
The name of the bucket.
48 ACCT_BKT_RUNNING_TOTAL NUMERIC No
Stores the running total of the bucket this line accumulated to. Roll periods are accounted for, so the amount returned is the current accumulation plus the total of previous accumulations to the same bucket and roll period.
49 ACCT_BKT_TX_TOTAL_KEY VARCHAR No
Stores a string that uniquely identifies the coverage, bucket, and roll period this transaction applies to. This simplifies joins to other accumulation data model components, such as V_BEN_ACCUMULATION_TOTALS. COVERAGE_ID must still be included in the join.
50 ACCT_BKT_SEQ_NUM INTEGER No
Stores a sequence number that indicates the order accumulation lines were added to the coverage. When accumulations are carried over, this number is not reset. For example, if accumulation 1 occurs on coverage A before accumulation 2 on coverage B, then carryover occurs from coverage A to B, the sequence number for accumulation 1 will still be before accumulation 2. This sequence number is not guaranteed to be dense/continuous, and may be NULL for accumulations that occurred before its implementation.