|
Name |
Type |
Discontinued? |
|
1 |
IMAGE_ID |
VARCHAR |
No |
|
|
|
This is the ID for the remittance image record with outpatient adjudication information. |
|
|
2 |
REIMBURSEMENT_RATE |
NUMERIC |
No |
|
|
|
The reimbursement rate percentage expressed as a decimal for outpatient adjudication info. |
|
|
3 |
HCPCS_PAYABLE_AMT |
NUMERIC |
No |
|
|
|
Monetary amount for the claim Healthcare Common Procedure Coding System (HCPCS) payable amount for outpatient adjudication info. |
|
|
4 |
OUTPAT_REMARK_1 |
VARCHAR |
No |
|
|
|
Outpatient adjudication remark code 1. |
|
|
5 |
OUTPAT_REMARK_2 |
VARCHAR |
No |
|
|
|
Outpatient adjudication remark code 2. |
|
|
6 |
OUTPAT_REMARK_3 |
VARCHAR |
No |
|
|
|
Outpatient adjudication remark code 3. |
|
|
7 |
OUTPAT_REMARK_4 |
VARCHAR |
No |
|
|
|
Outpatient adjudication remark code 4. |
|
|
8 |
OUTPAT_REMARK_5 |
VARCHAR |
No |
|
|
|
Outpatient adjudication remark code 5. |
|
|
9 |
CLAIM_ESRD_PAY_AMT |
NUMERIC |
No |
|
|
|
End stage renal disease (ESRD) payment amount for outpatient adjudication info. |
|
|
10 |
OUT_NONPAY_PRF_AMT |
NUMERIC |
No |
|
|
|
Monetary amount for outpatient adjudication nonpayable professional component. |
|
|