|
Name |
Type |
Discontinued? |
|
| 1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
| The unique identifier for the claim info 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 |
REFERRAL_ID |
NUMERIC |
No |
|
|
|
| The unique identifier of the referral previously associated with this claim. |
|
|
| 4 |
VISIT_COUNT |
INTEGER |
No |
|
|
|
| The visit count for this referral when it was linked to the AP claim. |
|
|
| 5 |
ADJUD_AMT |
NUMERIC |
No |
|
|
|
| The adjudicated dollar amount for this referral when it was linked to the AP claim. |
|
|
| 6 |
PAID_AMT |
NUMERIC |
No |
|
|
|
| The paid dollar amount for this referral when it was linked to the AP claim. |
|
|
| 7 |
RFL_ATTACH_SOURCE_C_NAME |
VARCHAR |
No |
|
|
|
| The historical referral attachment source category ID for the AP claim. |
| May contain organization-specific values: No |
| Category Entries: |
| Adjudication Referral Matching |
| Manual |
| EDI Claim File |
|
|