|
Name |
Type |
Discontinued? |
|
| 1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
| The unique identifier for the Claim Info record. |
|
|
| 2 |
STER_ABORTION_CD_C_NAME |
VARCHAR |
No |
|
|
|
| Stores the sterilization/abortion code to print on the claim. |
| May contain organization-specific values: Yes |
| No Entries Defined |
|
|
| 3 |
SVC_AUTH_EXCEPT_C_NAME |
VARCHAR |
No |
|
|
|
| This column stores the service authorization exception code detailing why a claim was exempt from the normal authorization process. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Immediate/Urgent Care |
| Services Rendered in a Retroactive Period |
| Emergency Care |
| Client has Temporary Medicaid |
| Request from County for Second Opinion to Determine if Recipient Can Work |
| Request for Override Pending |
| Special Handling |
|
|
| 4 |
AMBULANCE_LICENSE_PLATE_NUMBER |
VARCHAR |
No |
|
|
|
| The license plate number of the ambulance used for transport |
|
|
| 5 |
AMBULANCE_PICK_UP_UTC_DTTM |
DATETIME (UTC) |
No |
|
|
|
| The pick-up time of the ambulance ride |
|
|
| 6 |
AMBULANCE_DROP_OFF_UTC_DTTM |
DATETIME (UTC) |
No |
|
|
|
| The drop-off time of the ambulance ride |
|
|
| 7 |
AMBULANCE_ROUNDTRIP_REASON |
VARCHAR |
No |
|
|
|
| The reason for roundtrip for the ambulance ride |
|
|
| 8 |
AMBU_STRETCHER_REASON_C_NAME |
VARCHAR |
No |
|
|
|
| The reason for stretcher for the ambulance ride |
| May contain organization-specific values: Yes |
| No Entries Defined |
|
|
| 9 |
AMBULANCE_SQUAD_C_NAME |
VARCHAR |
No |
|
|
|
| The ambulance squad of the ambulance that the patient rode in |
| May contain organization-specific values: Yes |
| No Entries Defined |
|
|
| 10 |
AMBULANCE_RUN_NUMBER |
VARCHAR |
No |
|
|
|
| The run number of the ambulance ride that transported the patient |
|
|
| 11 |
AMBULANCE_VEHICLE_NUMBER |
VARCHAR |
No |
|
|
|
| The vehicle number for the ambulance that transported the patient |
|
|
| 12 |
AMBULANCE_DISPATCH_DX_ID_DX_NAME |
VARCHAR |
No |
|
|
|
| The name of the diagnosis. |
|
|