|
Name |
Type |
Discontinued? |
|
1 |
CLAIM_PRINT_ID |
NUMERIC |
No |
|
|
|
The unique identifier for the claim record. |
|
|
2 |
EMEDNY_PAYMENT_SOURCE_MCARE_C_NAME |
VARCHAR |
No |
|
|
|
This is the single-digit source code indicator that indicates Medicare's involvement in paying for these charges on the eMedNY 150003 claim form. |
May contain organization-specific values: No |
Category Entries: |
No Medicare Involvement |
Member Has Medicare Part B; Medicare Approved the Service |
Member Has Medicare Part B; Medicare Denied Payment |
|
|
3 |
EMEDNY_PAYMENT_SOURCE_OTHER_C_NAME |
VARCHAR |
No |
|
|
|
This is a single-digit code indicating whether the patient has a coverage besides Medicare and Medicaid on the eMedNY 150003 claim form. |
May contain organization-specific values: No |
Category Entries: |
No Other Insurance Involvement |
Member Has Other Insurance Coverage |
Member Participation |
|
|
4 |
EMEDNY_PAYMENT_SOURCE_INS_CODE |
VARCHAR |
No |
|
|
|
This is the two-digit insurance code for the commercial coverage, if any, on the eMedNY 150003 claim form. |
|
|