|
Name |
Type |
Discontinued? |
|
| 1 |
IMAGE_ID |
VARCHAR |
No |
|
|
|
| This is the ID for the remittance image record. |
|
|
| 2 |
ENTITY_ID_CD_C_NAME |
VARCHAR |
No |
|
|
|
| Code identifying an organizational entity, a physical location, property or an individual. |
| May contain organization-specific values: No |
| Category Entries: |
| Payer |
| Payee |
|
|
| 3 |
ENTITY_NAME |
VARCHAR |
No |
|
|
|
|
| 4 |
ENTITY_ID_QUAL_C_NAME |
VARCHAR |
No |
|
|
|
| Code designating the system/method of code structure used for Identification Code |
| May contain organization-specific values: No |
| Category Entries: |
| Health Care Financing Administration National PlanID |
| Federal Taxpayer's Identification Number |
| Health Care Financing Administration National Provider Identifier |
|
|
| 5 |
ENTITY_IDENTIFIER |
VARCHAR |
No |
|
|
|
| Code identifying a party or other code |
|
|
| 6 |
ENTITY_ADDR |
VARCHAR |
No |
|
|
|
| Entity's Address information |
|
|
| 7 |
ENTITY_CITY |
VARCHAR |
No |
|
|
|
| Entity's city information |
|
|
| 8 |
ENTITY_STATE |
VARCHAR |
No |
|
|
|
| Entity's Standard State/Province as defined by appropriate government agency |
|
|
| 9 |
ENTITY_ZIPCODE |
VARCHAR |
No |
|
|
|
| Entity's ZIP code defining international postal zone code excluding punctuation and blanks (ZIP code for United States) |
|
|
| 10 |
LINE |
INTEGER |
No |
|
|
|
| The line number in the results of a query. |
|
|