|
Name |
Type |
Discontinued? |
|
| 1 |
IMAGE_ID |
VARCHAR |
No |
|
|
|
| The unique ID of the remittance image 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 |
REASON_CODE |
VARCHAR |
No |
|
|
|
| This is the code identifying the detailed reason the adjustment was made. |
|
|
| 4 |
ADJUST_AMT |
NUMERIC |
No |
|
|
|
| This is the currency amount of the adjustment. |
|
|
| 5 |
ADJUST_QTY |
VARCHAR |
No |
|
|
|
|
| 6 |
CLM_ADJ_CD_C_NAME |
VARCHAR |
No |
|
|
|
| This is the code identifying the general category of payment adjustment. |
| May contain organization-specific values: Yes |
| Category Entries: |
| Patient Responsibility |
| Contractual Obligation |
| Payor Initiated |
| Correction and Reversal |
| Other Adjustment |
|
|