|
Name |
Type |
Discontinued? |
|
1 |
IMAGE_ID |
VARCHAR |
No |
|
|
|
This is the ID for the remittance image record. |
|
|
2 |
PROV_IDENTIFIER |
VARCHAR |
No |
|
|
|
This column contains the provider identifier assigned by the payor for Provider Level Adjustments (PLB). Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier. |
|
|
3 |
FISCAL_PERIOD_DT |
DATETIME |
No |
|
|
|
This column contains the fiscal period date for Provider Level Adjustments (PLB). The last day of the provider’s fiscal year. |
|
|
4 |
PROV_ADJ_AMT |
NUMERIC |
No |
|
|
|
This column contains the adjustment amount for Provider Level Adjustments (PLB). |
|
|
5 |
PLB_ADJUSTMENT_IDN |
VARCHAR |
No |
|
|
|
This column contains the adjustment ID for Provider Level Adjustments (PLB). It provides the category and identifying reference information for an adjustment amount. This code is a composite data structure. The composite identifies the reason and identifying information for the adjustment amount. |
|
|
6 |
LINE |
INTEGER |
No |
|
|
|
The line number for the information associated with this record. Multiple pieces of information can be associated with this record. (Standard for this column type) |
|
|
7 |
PLB_BILL_SYS_C_NAME |
VARCHAR |
No |
|
|
|
Billing system of this Provider Level Adjustment (PLB) when remittance file has Professional Billing and Hospital Billing Payments. |
May contain organization-specific values: No |
Category Entries: |
Professional Billing |
Hospital Billing |
|
|