|
Name |
Type |
Discontinued? |
|
| 1 |
TX_ID |
NUMERIC |
No |
|
|
|
| The unique identifier (.1 item) for the transaction 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 |
FRM_TBL_GRP_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
| The group type of the rate elements. |
| May contain organization-specific values: No |
| Category Entries: |
| Constant |
| Coverage Risk Factor |
| Benefit Plan Rate Factor |
| Lookup |
| Part A |
| Part B |
| Part D |
| Employer Group Rate Factor |
|
|
| 4 |
LOOKUP_TABLE_ID |
VARCHAR |
No |
|
|
|
| The lookup table which was used to retrieve the rate element's values. |
|
|
| 5 |
LOOKUP_TABLE_ID_RATE_TABLE_NAME |
VARCHAR |
No |
|
|
|
| Name of the capitation rate table. |
|
|
| 6 |
MATCHED_CVG_ATTR_C_NAME |
VARCHAR |
No |
|
|
|
| This column will be deprecated. To continue accessing this data, use the MATCHED_CVG_ATTR_C column from the CAP_PAY_EL_DETAILS table. The coverage attribute used to select the rate group from the lookup table. |
| May contain organization-specific values: Yes |
|
|
| 7 |
PREMIUM_BUCKET_ID |
NUMERIC |
No |
|
|
|
| The capitation bucket which was the source of capitation RR subcomponent amounts used in the formula. |
|
|
| 8 |
MEM_LIST_ROW_KEY |
INTEGER |
No |
|
|
|
| The row number of the member in the member list (TML) to which each row in related group 3510 corresponds for a specialty capitation transaction. |
|
|
| 9 |
MATCHED_RIDER_PLAN_ID_BENEFIT_PLAN_NAME |
VARCHAR |
No |
|
|
|
| The name of the benefit plan record. |
|
|
| 10 |
MATCHED_RULE_ID |
VARCHAR |
No |
|
|
|
| This column will be deprecated. To continue accessing this data, use the MATCHED_RULE_ID column from the CAP_PAY_EL_DETAILS table. The rule that passed when selecting the rate group for the lookup table. |
|
|
| 11 |
MATCHED_RULE_ID_RULE_NAME |
VARCHAR |
No |
|
|
|
|
| 12 |
REFINEMENT_LOOKUP_TABLE_ID |
VARCHAR |
No |
|
|
|
| This column will be deprecated. To continue accessing this data, use the REFINEMENT_LOOKUP_TABLE_ID column from the CAP_PAY_EL_DETAILS table. The additional refinement rate table used to look up a member's rate. |
|
|
| 13 |
REFINEMENT_LOOKUP_TABLE_ID_RATE_TABLE_NAME |
VARCHAR |
No |
|
|
|
| Name of the capitation rate table. |
|
|
