|
Name |
Type |
Discontinued? |
|
| 1 |
CLAIM_PRINT_ID |
NUMERIC |
No |
|
|
|
| The unique identifier for the claim record. |
|
|
| 2 |
LINE |
INTEGER |
No |
|
|
|
| The line number of one of the multiple values associated with a specific group of data within this record. |
|
|
| 3 |
EOB_LN_CVG_ID |
NUMERIC |
No |
|
|
|
| This item holds the line level coverage ID associated with American National Standards Institute secondary information that does not span multiple lines. |
|
|
| 4 |
EOB_LN_CLM_LN |
INTEGER |
No |
|
|
|
| The line number of one of the multiple values associated with a specific group of data within this record. |
|
|
| 5 |
EOB_LN_PAID |
NUMERIC |
No |
|
|
|
| This item holds the line level paid amount for American National Standards Institute secondary claims. |
|
|
| 6 |
EOB_LN_CONTRACT |
NUMERIC |
No |
|
|
|
| This item holds the line level contract amount for American National Standards Institute secondary claims. |
|
|
| 7 |
EOB_LN_DATE |
DATETIME |
No |
|
|
|
| This item holds the line level adjudication date for American National Standards Institute secondary claims. |
|
|
| 8 |
EOB_LN_REMIT_IMAGE_ID |
VARCHAR |
No |
|
|
|
| For ANSI secondaries this item may hold a line level matched remittance image (IMD) record ID. |
|
|