|
Name |
Type |
Discontinued? |
|
1 |
REF_DATA_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the Claim Reference Data record. |
|
|
2 |
RECORD_STATUS_C_NAME |
VARCHAR |
No |
|
|
|
Stores the record status (hidden, soft-deleted, and others). |
May contain organization-specific values: No |
Category Entries: |
Soft Deleted |
Hidden |
Hidden and Soft Deleted |
|
|
3 |
ORGANIZATION_ID |
NUMERIC |
No |
|
|
|
The ID of the organization that sent the invoice. |
|
|
4 |
ORGANIZATION_ID_EXTERNAL_NAME |
VARCHAR |
No |
|
|
|
Organization's external name used as the display name on forms and user interfaces. |
|
|
5 |
PAT_ID |
VARCHAR |
No |
|
|
|
The Patient ID of the member in the Payer system for whom the invoice was sent. |
|
|
6 |
MEMBER_IDENT |
VARCHAR |
No |
|
|
|
The Member ID of the associated member for whom the invoice was sent. |
|
|
7 |
CRF_RECORD_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The type of Claim Reference Data record. This is determined by the claims-related record the Claim Reference Data record will link to (Claim, Referal, or other). |
May contain organization-specific values: No |
Category Entries: |
Claim |
|
|
8 |
LINKED_CLAIM_ID |
NUMERIC |
No |
|
|
|
The ID of the Claim record linked to the Claim Reference Data record. |
|
|
9 |
BILLING_PROV_NPI |
VARCHAR |
No |
|
|
|
The NPI of the Billing Provider / Vendor that sent the invoice. |
|
|
10 |
BILLING_PROV_TAX_IDENT |
VARCHAR |
No |
|
|
|
The Tax ID of the Billing Provider / Vendor that sent the invoice. |
|
|
11 |
BILLING_SYS_C_NAME |
VARCHAR |
No |
|
|
|
The type of the Billing System that sent the invoice. |
May contain organization-specific values: No |
Category Entries: |
Professional Billing |
Hospital Billing |
Tapestry |
Healthy Planet |
Payer Platform |
Data Aggregation |
|
|
12 |
HOSPITAL_ACCT_IDENT |
VARCHAR |
No |
|
|
|
The external identifier of the Hospital Account associated with the invoice. This identifier should not be used to join to internal Hospital Account tables. |
|
|
13 |
CLAIM_INT_CONTROL_NUMBER |
VARCHAR |
No |
|
|
|
The Internal Control Number (ICN) for the claim. Each ICN points to a unique Claim record in the Payer system. |
|
|
14 |
INVOICE_NUMBER |
VARCHAR |
No |
|
|
|
The number of the invoice in the claim reference data set. |
|
|
15 |
CLAIM_FROM_DATE |
DATETIME |
No |
|
|
|
The minimum service date on the claim. |
|
|
16 |
CLAIM_TO_DATE |
DATETIME |
No |
|
|
|
The maximum service date on the claim. |
|
|
17 |
BILLED_AMOUNT |
NUMERIC |
No |
|
|
|
The total of the charges on the claim. |
|
|
18 |
ORIGINAL_INVOICE_NUMBER |
VARCHAR |
No |
|
|
|
The number of the original or previous invoice in a series of invoices where the previous invoice was canceled, replaced, resubmitted, or otherwise nullified. |
|
|
19 |
CANCEL_FLAG_C_NAME |
VARCHAR |
No |
|
|
|
Flag raised if the associated invoice is a Cancellation. |
May contain organization-specific values: No |
Category Entries: |
Yes |
|
|
20 |
REPLACE_FLAG_C_NAME |
VARCHAR |
No |
|
|
|
Flag raised if the associated invoice is a Replacement. |
The category values for this column were already listed for column: CANCEL_FLAG_C_NAME |
|
|
21 |
RESUBMIT_FLAG_C_NAME |
VARCHAR |
No |
|
|
|
Flag raised if the associated invoice is a Resubmission. |
The category values for this column were already listed for column: CANCEL_FLAG_C_NAME |
|
|
22 |
RECORD_NAME |
VARCHAR |
No |
|
|
|
The name of the Claim Reference Data record. |
|
|
23 |
PRIMARY_LINK_UTC_DTTM |
DATETIME (UTC) |
No |
|
|
|
The instant a Primary record was linked to the Claim Reference Data record. |
|
|
24 |
CANCELLED_BY_PROV_FLAG_C_NAME |
VARCHAR |
No |
|
|
|
Indicates whether the associated invoice has been cancelled by the submitter. |
The category values for this column were already listed for column: CANCEL_FLAG_C_NAME |
|
|
25 |
PAT_MRN |
VARCHAR |
No |
|
|
|
The patient's medical record number. |
|
|
26 |
FILING_ORDER_C_NAME |
VARCHAR |
No |
|
|
|
Stores the providers claim filing order. |
May contain organization-specific values: No |
Category Entries: |
Primary |
Secondary |
Tertiary |
Post-Tertiary |
Unknown |
|
|
27 |
REF_DATA_CLAIM_PRINT_ID |
NUMERIC |
No |
|
|
|
The claim print record for which the CRF record is generated from. This item is only populated on a shared instance implementation of CRF. |
|
|
28 |
PROV_CLM_RECON |
VARCHAR |
No |
|
|
|
The Claim Reconciliation (CRD) record id in the provider system's Epic instance. This is not a networked item and does not link to a Claim Reconciliation record. |
|
|